Active NPI
Amy Lewin, L.C.S.W.
- Clinical Social Worker
- Merrick, NY
National Provider Identifier
1205970746
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- R027322-1
- Practice address
- 124 Merrick Ave
Merrick, NY 11566-3434 - Phone
- (516) 546-1401
- Fax
- (516) 546-1401
- NPI assigned
- Feb 17, 2007
- 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 | R027322-1 | NY | Primary |
Addresses
Primary practice location
124 Merrick Ave
Merrick, NY 11566-3434
Mailing address
3117 Clubhouse Rd
Merrick, NY 11566-4811
Phone (516) 664-1401
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 147600 | Other | NY | VALUE OPTIONS |
| P2081352 | Other | NY | OXFORD |
| 7478504 | Other | NY | GHI PROVIDER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- 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 |
|---|---|---|---|---|
| I20120109000659 | NY | Practitioner - Clinical Social Worker | 3779759063 | Practice locations: Merrick, NY |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
124 Merrick Ave
Merrick, NY 11566-3434
Phone (516) 546-1401
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R027322-1 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171670400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551744000000",
"number": "1205970746",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3117 CLUBHOUSE RD",
"city": "MERRICK",
"state": "NY",
"postal_code": "115664811",
"telephone_number": "516-664-1401",
"fax_number": "516-546-1401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "124 MERRICK AVE",
"city": "MERRICK",
"state": "NY",
"postal_code": "115663434",
"telephone_number": "516-546-1401",
"fax_number": "516-546-1401"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIN",
"first_name": "AMY",
"credential": "L.C.S.W.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-17",
"last_updated": "2019-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "R027322-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "147600",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P2081352",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI PROVIDER",
"identifier": "7478504",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Merrick, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2019; 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.