Active NPI
Amy Byron Sadiki, LCSW
- Clinical Social Worker
- Nampa, ID
National Provider Identifier
1326466871
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW-38441
- Practice address
- 112 12TH Ave Rd
Nampa, ID 83686-5011 - Phone
- (208) 465-5433
- Fax
- (208) 466-5802
- NPI assigned
- Apr 2, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 72066733 | NY | |
| Clinical Social Worker | 1041C0700X | LCSW-38441 | ID | Primary |
Addresses
Primary practice location
112 12TH Ave Rd
Nampa, ID 83686-5011
Mailing address
112 12TH Ave Rd
Nampa, ID 83686-5011
Phone (208) 465-5433
Other practice location 1
150 55th St
Brooklyn, NY 11220-2508
Phone (347) 377-3593
Other names 1
- Ms. Amy Marie Byron-Sadiki
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
720 N 16TH St
Suite 104
Boise, ID 83702-4082
Phone (208) 570-5641
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 72066733 | NY | MD | Social Worker |
| LCSW-38441 | ID | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sadiki Counseling Services, PLLC | Clinical | Current | Accepting new patients |
Locations
1015 W Hays St
Ste 209
Boise, ID 83702
Phone (208) 570-5641
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.
-
- Clinical Social Worker
- Boise, ID
- NPI 1457015265
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1396396800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1553558400000",
"number": "1326466871",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "112 12TH AVE RD",
"city": "NAMPA",
"state": "ID",
"postal_code": "836865011",
"telephone_number": "208-465-5433",
"fax_number": "208-466-5802"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "112 12TH AVE RD",
"city": "NAMPA",
"state": "ID",
"postal_code": "836865011",
"telephone_number": "208-465-5433",
"fax_number": "208-466-5802"
}
],
"practiceLocations": [
{
"address_1": "150 55th St",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "112202508",
"country_code": "US",
"telephone_number": "347-377-3593",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BYRON SADIKI",
"first_name": "AMY",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-04-02",
"last_updated": "2019-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "72066733",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "ID",
"license": "LCSW-38441",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "AMY",
"last_name": "BYRON-SADIKI",
"middle_name": "MARIE",
"prefix": "MS.",
"credential": "LCSW",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Nampa, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2019; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.