Active NPI
Janet Amdur
- Social Worker
- Belmont, MA
National Provider Identifier
1265607287
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 107954
- Practice address
- 19 Moore St
Belmont, MA 02418 - Phone
- (617) 993-2729
- NPI assigned
- Apr 30, 2008
- Reactivated
- Mar 9, 2018
- Last updated
- Mar 22, 2022
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 107954 | MA | Primary |
Addresses
Primary practice location
19 Moore St
Belmont, MA 02418
Mailing address
19 Moore St
Belmont, MA 02478-2501
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 107954 | MA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647907200000",
"number": "1265607287",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19 MOORE ST",
"city": "BELMONT",
"state": "MA",
"postal_code": "024782501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19 MOORE ST",
"city": "BELMONT",
"state": "MA",
"postal_code": "02418",
"telephone_number": "617-993-2729"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AMDUR",
"first_name": "JANET",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-04-30",
"last_updated": "2022-03-22",
"certification_date": "2022-03-22",
"deactivation_date": "2010-11-24",
"reactivation_date": "2018-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MA",
"license": "107954",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Belmont, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 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.