Individual provider Active NPI

Amy Emery, LCSW, LICSW

  • Clinical Social Worker
  • Farmington, CT
National Provider Identifier
1295099273
Registry record updated Jan 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
007892 Issued in CT
Practice address
222 Main St Ste 241
Farmington, CT 06032-3623
Phone
(203) 340-4653
Fax
(203) 208-3549
NPI assigned
Jun 25, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 22, 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 007892 CT Primary

Addresses

Primary practice location

222 Main St Ste 241
Farmington, CT 06032-3623

Mailing address

222 Main St Ste 241
Farmington, CT 06032-3623
Phone (203) 340-4653

Other practice location 1

29 Blake Rd
New Britain, CT 06053-2001
Phone (203) 340-4653

Other identifiers 2

IdentifierTypeStateIssuer
122987OtherMABOARD OF REGISTRATION OF SOCIAL WORKERS
007892OtherCTSTATE OF CT DEPT OF PUBLIC HEALTH

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
007892CTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Helping Hands Healing Hearts Counseling Services Clinical CurrentSince Aug 7, 2022 Accepting new patients

Locations

222 Main St
Ste 241
Farmington, CT 06032
Phone (203) 340-4653

56 Center St
Ste 2
Southington, CT 06489
Phone (860) 276-9970

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": "1340582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611273600000",
    "number": "1295099273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 MAIN ST STE 241",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060323623",
            "telephone_number": "203-340-4653",
            "fax_number": "203-208-3549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 MAIN ST STE 241",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060323623",
            "telephone_number": "203-340-4653",
            "fax_number": "203-208-3549"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "29 Blake Rd",
            "address_purpose": "LOCATION",
            "city": "New Britain",
            "state": "CT",
            "postal_code": "060532001",
            "country_code": "US",
            "telephone_number": "203-340-4653",
            "fax_number": "203-208-3549",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EMERY",
        "first_name": "AMY",
        "credential": "LCSW, LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-25",
        "last_updated": "2021-01-22",
        "certification_date": "2021-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "007892",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF REGISTRATION OF SOCIAL WORKERS",
            "identifier": "122987",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF CT DEPT OF PUBLIC HEALTH",
            "identifier": "007892",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2021; 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.