Active NPI
Amy Kara Halter, MSW
- Clinical Social Worker
- Boston, MA
National Provider Identifier
1114476793
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LICSW127364
- Practice address
- 101 Federal St
Boston, MA 02110-1817 - Phone
- (206) 744-8030
- Fax
- (206) 744-8652
- NPI assigned
- Sep 24, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 088901 | NY | |
| Clinical Social Worker | 1041C0700X | CSW009057 | GA | |
| Clinical Social Worker | 1041C0700X | LW60859065 | WA | |
| Clinical Social Worker | 1041C0700X | LICSW127364 | MA | Primary |
Addresses
Primary practice location
101 Federal St
Boston, MA 02110-1817
Mailing address
710 Gaskill St SE
Atlanta, GA 30316-1116
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CSW009057 | GA | MD | Clinical Social Worker |
| LICSW127364 | MA | MD | Clinical Social Worker |
| 088901 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1474675200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728432000000",
"number": "1114476793",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "710 GASKILL ST SE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303161116"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 FEDERAL ST",
"city": "BOSTON",
"state": "MA",
"postal_code": "021101817",
"telephone_number": "206-744-8030",
"fax_number": "206-744-8652"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALTER",
"first_name": "AMY",
"middle_name": "KARA",
"credential": "MSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-09-24",
"last_updated": "2024-10-09",
"certification_date": "2024-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "088901",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "GA",
"license": "CSW009057",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WA",
"license": "LW60859065",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "LICSW127364",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.