Amy Marie Roland Scott, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

079467 Issued in NY

Practice address

93 Main St Ste 1M
West Sayville, NY 11796-1832

Phone

(631) 747-6652

NPI assigned

Sep 9, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Innovations Counseling, LCSW PLLC

  • Clinical Social Worker
  • West Sayville, NY
  • NPI 1568902062
  Medicare reassignment
• Sardonyx Wellness LCSW PLLC

  • Clinical Social Worker
  • West Sayville, NY
  • NPI 1477210698
  NPD
• Eastern Suffolk Boces

  • Public Health or Welfare Agency
  • Patchogue, NY
  • NPI 1073890091
  NPD (past)
• Esboces

  • Public Health or Welfare Agency
  • Patchogue, NY
  • NPI 1093092025
  NPD (past)

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

{
    "created_epoch": "1410220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714608000000",
    "number": "1265833347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 HICKORY ST",
            "city": "PORT JEFFERSON STATION",
            "state": "NY",
            "postal_code": "117762115",
            "telephone_number": "631-747-6652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "93 MAIN ST STE 1M",
            "city": "WEST SAYVILLE",
            "state": "NY",
            "postal_code": "117961832",
            "telephone_number": "631-747-6652"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 Sunrise Hwy W",
            "address_purpose": "LOCATION",
            "city": "Patchogue",
            "state": "NY",
            "postal_code": "117721868",
            "country_code": "US",
            "telephone_number": "631-289-2200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROLAND SCOTT",
        "first_name": "AMY",
        "middle_name": "MARIE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-09",
        "last_updated": "2024-05-02",
        "certification_date": "2024-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "079467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anto Ayinikal Paul, RN
• Caralee Piccola, LCSW
• Kerry Ann Reed, LPN
• Joana Reyes, NP-C
• Richard M. Sigismondi DMD PC
• Anthony Romano
• Megan Romano
• Frank D Russo, DPM
• Alexandra Marie Sala, LMSW
• Sardonyx Wellness LCSW PLLC

• Clinical Social Worker in West Sayville, NY
• Providers in West Sayville, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.