Active NPI
Amy E Tunney, LCSW
- Clinical Social Worker
- Blue Hill, ME
National Provider Identifier
1154870269
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LC17581
- Practice address
- 6 Mines Rd Ste D
Blue Hill, ME 04614-6408 - Phone
- (072) 664-7102
- Fax
- (508) 433-1871
- NPI assigned
- Sep 30, 2016
- Last updated
- Jan 28, 2021
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LC17581 | ME | Primary |
Addresses
Primary practice location
6 Mines Rd Ste D
Blue Hill, ME 04614-6408
Mailing address
PO Box 116
Blue Hill, ME 04614-0116
Phone (207) 266-4710
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190614000379 | ME | Practitioner - Clinical Social Worker | 2163755687 | Practice locations: Blue Hill, ME |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LC17581 | ME | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1475193600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611792000000",
"number": "1154870269",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 116",
"city": "BLUE HILL",
"state": "ME",
"postal_code": "046140116",
"telephone_number": "207-266-4710"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6 MINES RD STE D",
"city": "BLUE HILL",
"state": "ME",
"postal_code": "046146408",
"telephone_number": "072-664-7102",
"fax_number": "508-433-1871"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TUNNEY",
"first_name": "AMY",
"middle_name": "E",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-09-30",
"last_updated": "2021-01-28",
"certification_date": "2021-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "ME",
"license": "LC17581",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Blue Hill, ME
- Zoe Robbins Tenney, FNP
- The Blue Hill Memorial Hospital (Northern Light Blue Hill Hospital)
- The Blue Hill Memorial Hospital (Northern Light Blue Hill Hospital)
- Lorinda L Toscas, L.AC.
- Tracy L Smith, DDS
- John Tyler, M.D.
- Variable Movement LLC
- Walgreen Eastern Co Inc (Walgreens #17708)
- Robert S. Walker, MD
- Gwendolyn Warren, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.