Amy Lynne Strom, MSSA LISW-S, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW11511 Issued in FL

Practice address

5272 Summerlin Commons Way Ste 602
Fort Myers, FL 33907-2156

Phone

(239) 297-7099

NPI assigned

Aug 27, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Florida Art Therapy Services, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Fort Myers, FL
  • NPI 1427435494
  NPD (past)
• Achievement Centers for Children

  • Clinical Social Worker
  • Highland Hills, OH
  • NPI 1841458791
  NPD (past)

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

{
    "created_epoch": "1156636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536796800000",
    "number": "1154439545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3781 COSTA MAYA WAY UNIT 101",
            "city": "ESTERO",
            "state": "FL",
            "postal_code": "33928",
            "telephone_number": "440-665-9387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5272 SUMMERLIN COMMONS WAY STE 602",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339072156",
            "telephone_number": "239-297-7099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STROM",
        "first_name": "AMY",
        "middle_name": "LYNNE",
        "name_prefix": "Ms.",
        "credential": "MSSA LISW-S, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-27",
        "last_updated": "2018-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I0007058SUPV",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW11511",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0268768",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Theresa Strianese, RBT
• Dixie Strickland, APRN
• Judith A Strickland, PT
• Susan M Strickland, DO
• Stride Behavioral Health
• Hannah Strom
• Connor Stroup
• Jeanne Struve, RD
• Stuart B. Krost M.D. P.a.
• Jeffrey Stuart, ULTRASOUND TECHNOLOG

• Clinical Social Worker in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2018; 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.