Active NPI
Aimee Amodio, MSW, LICSW
- Social Worker
- Portland, OR
National Provider Identifier
1154851574
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 14523 SE Gladstone St
Portland, OR 97236-2491 - Phone
- (360) 836-0725
- NPI assigned
- Jun 18, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
14523 SE Gladstone St
Portland, OR 97236-2491
Mailing address
14523 SE Gladstone St
Portland, OR 97236-2491
Phone (360) 836-0725
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LW61091991 | Other | WA | WA DEPT OF HEALTH |
| A4961 | Other | OR | OR BOARD OF LICENSED SOCIAL WORKERS |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Teladoc Health Medical Group, P.a. | Current | Accepting new patients | |
| Family Solutions, Inc | Past | Accepting new patients |
Interoperability endpoints
- https://api.qualifacts.org/api/fhir/family-solutions/r4/
- aimeeamodio@tdh.allscriptsdirect.net
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Lewisville, TX
- NPI 1245403567
-
- Community/Behavioral Health Agency
- Vancouver, WA
- NPI 1831258995
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659657600000",
"number": "1154851574",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14523 SE GLADSTONE ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972362491",
"telephone_number": "360-836-0725"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14523 SE GLADSTONE ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972362491",
"telephone_number": "360-836-0725"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AMODIO",
"first_name": "AIMEE",
"credential": "MSW, LICSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-06-18",
"last_updated": "2022-08-05",
"certification_date": "2022-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WA DEPT OF HEALTH",
"identifier": "LW61091991",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OR BOARD OF LICENSED SOCIAL WORKERS",
"identifier": "A4961",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 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.