Individual provider Active NPI

Amy Defilippi, L.C.S.W.

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1245576271
Registry record updated Dec 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
73079986 Issued in NY
Practice address
250 W 49TH St
#2
New York, NY 10019-7400
Phone
(808) 392-2691
Fax
(212) 245-8545
NPI assigned
Dec 19, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 19, 2012

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 73079986 NY Primary

Addresses

Primary practice location

250 W 49TH St
#2
New York, NY 10019-7400

Mailing address

415 W 47TH St
Apt 3B
New York, NY 10036-2318
Phone (808) 392-2691

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
079986NYMDSocial Worker
73079986NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1355875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355875200000",
    "number": "1245576271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 W 47TH ST",
            "address_2": "APT 3B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100362318",
            "telephone_number": "808-392-2691",
            "fax_number": "212-245-8545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 W 49TH ST",
            "address_2": "#2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100197400",
            "telephone_number": "808-392-2691",
            "fax_number": "212-245-8545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEFILIPPI",
        "first_name": "AMY",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-12-19",
        "last_updated": "2012-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "73079986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2012; 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.