Individual provider Active NPI

Amy Sofer Bromelow

  • Social Worker
  • Paradise, CA
National Provider Identifier
1245376474
Registry record updated Sep 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
7200 Skyway
Paradise, CA 95969-3280
Phone
(530) 877-6764
Fax
(530) 877-6787
NPI assigned
Jan 29, 2007
Last updated
Sep 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X CA
School Counselor 101YS0200X CA
Social Worker 104100000X CA Primary
Rehabilitation Counselor 225C00000X CA

Addresses

Primary practice location

7200 Skyway
Paradise, CA 95969-3280

Mailing address

58 Wayland Rd
Paradise, CA 95969-6135
Phone (530) 321-6439

Other names 1

  • Amy Annie Lou Sofer Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663718400000",
    "number": "1245376474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 WAYLAND RD",
            "city": "PARADISE",
            "state": "CA",
            "postal_code": "959696135",
            "telephone_number": "530-321-6439",
            "fax_number": "530-877-6787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7200 SKYWAY",
            "city": "PARADISE",
            "state": "CA",
            "postal_code": "959693280",
            "telephone_number": "530-877-6764",
            "fax_number": "530-877-6787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROMELOW",
        "first_name": "AMY",
        "middle_name": "SOFER",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-29",
        "last_updated": "2022-09-21",
        "certification_date": "2022-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": null,
            "primary": true
        },
        {
            "code": "225C00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Counselor",
            "state": "CA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "SOFER",
            "middle_name": "ANNIE LOU",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Paradise, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.