Individual provider Active NPI

Debra L Amato

  • Clinical Social Worker
  • Swampscott, MA
National Provider Identifier
1275126013
Registry record updated Feb 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
214140 Issued in MA
Practice address
11 Morton Rd
Swampscott, MA 01907-1408
Phone
(781) 780-1616
NPI assigned
Feb 12, 2021
Last updated
Feb 12, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 12, 2021

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 214140 MA Primary

Addresses

Primary practice location

11 Morton Rd
Swampscott, MA 01907-1408

Mailing address

11 Morton Rd
Swampscott, MA 01907-1408
Phone (781) 780-1616

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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

Enrollment IDStateProvider typePAC IDDetails
I20220601003080 MA Practitioner - Clinical Social Worker 1456739564 Practice locations: E Orleans, MA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1998
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

E Orleans, MA 02643
Phone (617) 797-4833

PO Box
Suite 1292
East Orleans, MA 02643-1292

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1613088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613088000000",
    "number": "1275126013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 MORTON RD",
            "city": "SWAMPSCOTT",
            "state": "MA",
            "postal_code": "019071408",
            "telephone_number": "781-780-1616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 MORTON RD",
            "city": "SWAMPSCOTT",
            "state": "MA",
            "postal_code": "019071408",
            "telephone_number": "781-780-1616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMATO",
        "first_name": "DEBRA",
        "middle_name": "L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-12",
        "last_updated": "2021-02-12",
        "certification_date": "2021-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "214140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Swampscott, MA

Sources for this page

Verify at the official NPI Registry.