Individual provider Active NPI

Amy Durie, MSSW, LCSW

  • Clinical Social Worker
  • Erie, PA
National Provider Identifier
1205252525
Registry record updated Oct 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW023280 Issued in PA
Practice address
4950 W 23Rd St
Erie, PA 16506-5803
Phone
(814) 459-2755
NPI assigned
Mar 11, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2023

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 CW023280 PA Primary

Addresses

Primary practice location

4950 W 23Rd St
Erie, PA 16506-5803

Mailing address

2153 W 4TH St
Erie, PA 16505-2280
Phone (484) 433-9848

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20231113002254 PA Practitioner - Clinical Social Worker 7214384270 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Counselling Services Center of Southeastern Erie County, Inc. CurrentSince Nov 7, 2023 Accepting new patients
Achievement Center of Lecom Health Past Accepting new patients

Locations

45 E Washington St
Corry, PA 16407
Phone (814) 664-7761

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.

NPI Registry JSON

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

{
    "created_epoch": "1394496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697673600000",
    "number": "1205252525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2153 W 4TH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165052280",
            "telephone_number": "484-433-9848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4950 W 23RD ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165065803",
            "telephone_number": "814-459-2755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DURIE",
        "first_name": "AMY",
        "credential": "MSSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-11",
        "last_updated": "2023-10-19",
        "certification_date": "2023-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW023280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

Verify at the official NPI Registry.