Amy Olivia Redmond

Primary specialty

Social WorkerTaxonomy code 104100000X

License

P116392 Issued in NY

Practice address

40 Main St
Camden, NY 13316-1302

Phone

(315) 533-2570

NPI assigned

Aug 1, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Come to the Table Counseling LCSW

  • Clinical Social Worker
  • Camden, NY
  • NPI 1093319576
  NPD

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

{
    "created_epoch": "1659312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659312000000",
    "number": "1154058196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 MAIN ST",
            "city": "CAMDEN",
            "state": "NY",
            "postal_code": "133161302",
            "telephone_number": "315-533-2570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 MAIN ST",
            "city": "CAMDEN",
            "state": "NY",
            "postal_code": "133161302",
            "telephone_number": "315-533-2570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDMOND",
        "first_name": "AMY",
        "middle_name": "OLIVIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-01",
        "last_updated": "2022-08-01",
        "certification_date": "2022-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "P116392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robin Marie Pardee, LPN
• Jessica Marie Perusse, LCSW
• Poulin Eyecare Inc.
• Poulin Optometric Eyecare , PLLC
• Ronald H Poulin, O.D.
• Reflections Counseling Services
• Karen C Regan, N.P.
• Makenna Reinold, MS, OTR/L
• Susan Richards
• Omar A Rivera, LPN

• All providers in Camden, NY
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.