Amy Fodor, LCSW, Inc

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW3798 Issued in FL

Legal business name

AMY FODOR, LCSW, INC

Practice address

699 17TH St
Suite D
Vero Beach, FL 32960-6251

Phone

(772) 766-2069

Fax

(772) 918-8468

NPI assigned

Sep 8, 2011

Organization subpart

No

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

Authorized official

Name

Mrs. Amy Elizabeth Fodor, LCSW

Title

President

Phone

(772) 766-2069

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michaela L Hammer, LCSW, PSYD

  • Clinical Social Worker
  • Vero Beach, FL
  • NPI 1750472361
  NPD (past)

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

{
    "created_epoch": "1315440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315440000000",
    "number": "1154602878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 GRANDIN AVE",
            "city": "SEBASTIAN",
            "state": "FL",
            "postal_code": "329585125",
            "telephone_number": "772-766-2069",
            "fax_number": "772-918-8468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "699 17TH ST",
            "address_2": "SUITE D",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329606251",
            "telephone_number": "772-766-2069",
            "fax_number": "772-918-8468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMY FODOR, LCSW, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-08",
        "last_updated": "2011-09-08",
        "status": "A",
        "authorized_official_last_name": "FODOR",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "772-766-2069",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW3798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ameripath Florida LLC
• Marilyn Amico, LMHC
• Amilie M. Dubois, Psy.D., LLC
• Deep Amin, MD
• Jill Stalheber Amos, LMHC
• Daniel Andrew Amyx, OPTICIAN
• Arleen Alvarez Andaya, PT
• Michael Andaya, P.T.
• Stephanie A Andersen, LMT
• Kathryn Lee Anderson Sutton, M.D.

• Clinical Social Worker in Vero Beach, FL
• Providers in Vero Beach, 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 8, 2011; 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.