Individual provider Active NPI

Donna Kay Amtsberg, LCSW

  • Clinical Social Worker
  • Houston, TX
National Provider Identifier
1295075828
Registry record updated Feb 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
38031 Issued in TX
Practice address
15715 Fern Basin Dr
Houston, TX 77084-3020
Phone
(281) 855-0806
Fax
(281) 855-0806
NPI assigned
Feb 19, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 19, 2013

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 38031 TX Primary

Addresses

Primary practice location

15715 Fern Basin Dr
Houston, TX 77084-3020

Mailing address

15715 Fern Basin Dr
Houston, TX 77084-3020
Phone (281) 855-0806

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

LicenseStateTypeSpecialty
38031TXMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1361232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361232000000",
    "number": "1295075828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15715 FERN BASIN DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770843020",
            "telephone_number": "281-855-0806",
            "fax_number": "281-855-0806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15715 FERN BASIN DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770843020",
            "telephone_number": "281-855-0806",
            "fax_number": "281-855-0806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMTSBERG",
        "first_name": "DONNA",
        "middle_name": "KAY",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-02-19",
        "last_updated": "2013-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "38031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2013; 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.