Individual provider Active NPI

Alix Amar, M.ED . MSS

  • Clinical Social Worker
  • Elkins Park, PA
National Provider Identifier
1205031903
Registry record updated Mar 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW014084 Issued in PA
Practice address
7823 Mill Rd
Elkins Park, PA 19027-2745
Phone
(215) 391-0996
NPI assigned
Jun 20, 2007
Last updated
Mar 15, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 15, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CW014084 PA Primary

Addresses

Primary practice location

7823 Mill Rd
Elkins Park, PA 19027-2745

Mailing address

7823 Mill Rd
Elkins Park, PA 19027-2745
Phone (215) 391-0996

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200507000450 GA Practitioner - Clinical Social Worker 2668651985 Practice locations: Lilburn, GA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

4796 Shagbark CT SW
Lilburn, GA 30047-4360
Phone (215) 391-0996

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CW014084PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Teladoc Health Medical Group, P.a. Clinical Current Accepting new patients

Interoperability endpoints

  • Direct secure messaging: alixamar@tdh.allscriptsdirect.net

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1182297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426377600000",
    "number": "1205031903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7823 MILL RD",
            "city": "ELKINS PARK",
            "state": "PA",
            "postal_code": "190272745",
            "telephone_number": "215-391-0996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7823 MILL RD",
            "city": "ELKINS PARK",
            "state": "PA",
            "postal_code": "190272745",
            "telephone_number": "215-391-0996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMAR",
        "first_name": "ALIX",
        "name_prefix": "Ms.",
        "credential": "M.ED . MSS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-20",
        "last_updated": "2015-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW014084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkins Park, PA

Sources for this page

Verify at the official NPI Registry.