Individual provider Active NPI

Amy Lynn Cross-Viola, LCSW-R

  • Social Worker
  • Buffalo, NY
National Provider Identifier
1134555428
Registry record updated Jun 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
085364 Issued in NY
Practice address
255 Great Arrow Ave Ste 105
Buffalo, NY 14207-3024
Phone
(716) 713-5150
NPI assigned
Sep 19, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 2, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 085364 NY Primary

Addresses

Primary practice location

255 Great Arrow Ave Ste 105
Buffalo, NY 14207-3024

Mailing address

120 Knox Ave
Buffalo, NY 14216-3313
Phone (716) 713-5150

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140502000838 NY Practitioner - Clinical Social Worker 0446483192 Practice locations: Buffalo, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

255 Great Arrow Ave
Suite 105
Buffalo, NY 14207-3024
Phone (716) 713-5150

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
085364NYMDSocial Worker

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1379548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622592000000",
    "number": "1134555428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 KNOX AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142163313",
            "telephone_number": "716-713-5150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 GREAT ARROW AVE STE 105",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142073024",
            "telephone_number": "716-713-5150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROSS-VIOLA",
        "first_name": "AMY",
        "middle_name": "LYNN",
        "credential": "LCSW-R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-19",
        "last_updated": "2021-06-02",
        "certification_date": "2021-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "085364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

Verify at the official NPI Registry.