Individual provider Active NPI

Amy Neifeld, LCSW

  • Clinical Social Worker
  • Rego Park, NY
National Provider Identifier
1245316868
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
033446 Issued in NY
Practice address
9729 64TH Rd
Rego Park, NY 11374-2240
Phone
(718) 896-3400
Fax
(718) 459-5621
NPI assigned
Oct 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 033446 NY Primary

Addresses

Primary practice location

9729 64TH Rd
Rego Park, NY 11374-2240

Mailing address

3347 14TH St
Apt. 11D
Astoria, NY 11106-4677
Phone (718) 777-7638

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040312000863 NY Practitioner - Clinical Social Worker 8426947946 Reassigns benefits to 1 organization
Practice locations: Astoria, NY

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
033446NYMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Arista Center for Psychotherapy Inc CurrentSince Jan 16, 2004 Accepting new patients
Long Island Consultation Center PastSince Aug 15, 2021 Accepting new patients
Long Island Consultation Center, Inc. Clinical PastSince Sep 2, 2003 Accepting new patients
The in-Home Psychotherapy Service of Greater Ny, LCSW, P.C. Clinical Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/liccnewyorkcity/r4/

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1245316868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3347 14TH ST",
            "address_2": "APT. 11D",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111064677",
            "telephone_number": "718-777-7638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9729 64TH RD",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113742240",
            "telephone_number": "718-896-3400",
            "fax_number": "718-459-5621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEIFELD",
        "first_name": "AMY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "033446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rego Park, NY

Sources for this page

Verify at the official NPI Registry.