Individual provider Active NPI

Amy Michelle Rosenthal, LCSW

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1265760904
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
083112 Issued in NY
Practice address
75 Maiden LN RM 907
New York, NY 10038-4615
Phone
(929) 382-4251
NPI assigned
Nov 18, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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 083112 NY Primary

Addresses

Primary practice location

75 Maiden LN RM 907
New York, NY 10038-4615

Mailing address

473 78TH St Apt 6
Brooklyn, NY 11209-3408
Phone (917) 627-1511

Other practice location 1

1841 Park Ave
3rd Floor
New York, NY 10035-1316
Phone (646) 937-2491

Other practice location 2

583 5th St Lowr Level
Brooklyn, NY 11215-3503
Phone (929) 382-4251

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

Practice roles

OrganizationSpecialtyStatusNew patients
Jewish Board for Family and Children Services PastSince Dec 5, 2015 Accepting new patients

Organizations & group practices 1

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": "1258502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1265760904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "473 78TH ST APT 6",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112093408",
            "telephone_number": "917-627-1511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 MAIDEN LN RM 907",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100384615",
            "telephone_number": "929-382-4251"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1841 Park Ave",
            "address_2": "3rd Floor",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100351316",
            "country_code": "US",
            "telephone_number": "646-937-2491",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "583 5th St Lowr Level",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112153503",
            "country_code": "US",
            "telephone_number": "929-382-4251",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSENTHAL",
        "first_name": "AMY",
        "middle_name": "MICHELLE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-11-18",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "083112",
            "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 Mar 17, 2018; 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.