Active NPI
Amy Lee Nearhoof, LCSW
- Clinical Social Worker
- Eureka, CA
National Provider Identifier
1356654065
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW78446
- Practice address
- 2350 Buhne St
Eureka, CA 95501-3238 - Phone
- (707) 443-4593
- Fax
- (707) 269-7116
- NPI assigned
- Jul 22, 2010
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCSW78446 | CA | Primary |
| Mental Health Counselor | 101YM0800X | ASW71074 | CA |
Addresses
Primary practice location
2350 Buhne St
Eureka, CA 95501-3238
Mailing address
2350 Buhne St
Eureka, CA 95501-3238
Phone (707) 443-4593
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
| License | State | Type | Specialty |
|---|---|---|---|
| ASW71074 | CA | MD | Mental Health Counselor |
| LCSW78446 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1279756800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710201600000",
"number": "1356654065",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2350 BUHNE ST",
"city": "EUREKA",
"state": "CA",
"postal_code": "955013238",
"telephone_number": "707-443-4593",
"fax_number": "707-269-7116"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2350 BUHNE ST",
"city": "EUREKA",
"state": "CA",
"postal_code": "955013238",
"telephone_number": "707-443-4593",
"fax_number": "707-269-7116"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEARHOOF",
"first_name": "AMY",
"middle_name": "LEE",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-07-22",
"last_updated": "2024-03-12",
"certification_date": "2024-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCSW78446",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "ASW71074",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Eureka, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.