Active NPI
Amy R Valleli, MSW
- Social Worker
- Quincy, MA
National Provider Identifier
1124031513
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 1350 Hancock Street
#304
Quincy, MA 02169 - Phone
- (617) 745-4100
- Fax
- (617) 745-4170
- NPI assigned
- Aug 15, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | Primary | ||
| Clinical Social Worker | 1041C0700X | 115629 | MA |
Addresses
Primary practice location
1350 Hancock Street
#304
Quincy, MA 02169
Mailing address
14 Howe St
Quincy, MA 02169-5910
Phone (617) 922-2260
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 115629 | MA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1274227200000",
"number": "1124031513",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14 HOWE ST",
"city": "QUINCY",
"state": "MA",
"postal_code": "021695910",
"telephone_number": "617-922-2260"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1350 HANCOCK STREET",
"address_2": "#304",
"city": "QUINCY",
"state": "MA",
"postal_code": "02169",
"telephone_number": "617-745-4100",
"fax_number": "617-745-4170"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VALLELI",
"first_name": "AMY",
"middle_name": "R",
"name_prefix": "Mrs.",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-15",
"last_updated": "2010-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "115629",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Quincy, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.