Active NPI
Amy R Sommer, MSW
- Clinical Social Worker
- Waltham, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- P003241
- Practice address
- 1430 Main St
Waltham, MA 02451-1623 - Phone
- (781) 647-5327
- Fax
- (617) 419-6603
- NPI assigned
- Jan 5, 2007
- Last updated
- Sep 10, 2018
- Sex
- Female
- Sole proprietor
- No
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 | P003241 | NC | Primary |
Addresses
Primary practice location
1430 Main St
Waltham, MA 02451-1623
Mailing address
411 W Chapel Hill St
Suite 908
Durham, NC 27701-3616
Phone (919) 419-3474
Other practice location 1
411 W Chapel Hill St
Suite 908
Durham, NC 27701-3616
Phone (919) 419-3474 ext. 371
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P003241 | Other | NC | PROVISIONAL LCSW LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2004
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
399 Revolution Dr
Somerville, MA 02145-1444
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P003241 | NC | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Duke University | Past | Accepting new patients | |
| Child and Parent Support Services | Clinical | Past | Accepting new patients |
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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- NPI 1801874573
-
- General Acute Care Hospital
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- NPI 1023049236
-
dba Center for Child and Family Health
- Community/Behavioral Health Agency
- Durham, NC
- NPI 1902940224
Clinical
-
dba Center For Child and Family Health
- Child & Adolescent Psychiatry Physician
- Durham, NC
- NPI 1215070826
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536537600000",
"number": "1194872507",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "411 W CHAPEL HILL ST",
"address_2": "SUITE 908",
"city": "DURHAM",
"state": "NC",
"postal_code": "277013616",
"telephone_number": "919-419-3474",
"fax_number": "919-419-9353"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1430 MAIN ST",
"city": "WALTHAM",
"state": "MA",
"postal_code": "024511623",
"telephone_number": "781-647-5327",
"fax_number": "617-419-6603"
}
],
"practiceLocations": [
{
"address_1": "411 W Chapel Hill St",
"address_2": "Suite 908",
"address_purpose": "LOCATION",
"city": "Durham",
"state": "NC",
"postal_code": "277013616",
"country_code": "US",
"telephone_number": "919-419-3474 x371",
"fax_number": "919-419-9353",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SOMMER",
"first_name": "AMY",
"middle_name": "R",
"name_prefix": "Ms.",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-05",
"last_updated": "2018-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "P003241",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROVISIONAL LCSW LICENSE",
"identifier": "P003241",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Waltham, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2018; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.