Individual provider Active NPI

Amy K Wood, LICSW

  • Clinical Social Worker
  • Saint Albans, VT
National Provider Identifier
1356840367
Registry record updated Nov 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
089.0132140 Issued in VT
Practice address
67 Fairfield St
Saint Albans, VT 05478-1796
Phone
(802) 272-9871
NPI assigned
Feb 5, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 15, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CSW008648 GA
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 089.0132140 VT Primary

Addresses

Primary practice location

67 Fairfield St
Saint Albans, VT 05478-1796

Mailing address

PO Box 5653
Saint Marys, GA 31558-5653
Phone (802) 272-9871

Other practice location 1

724 Charlie Smith SR Hwy
Saint Marys, GA 31558-9505
Phone (802) 347-3268

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CSW008648GAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Amy K. Wood Clinical CurrentSince Feb 15, 2022 Accepting new patients

Locations

724 Charlie Smith SR Hwy
Saint Marys, GA 31558
Phone (802) 347-3268

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": "1517788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700006400000",
    "number": "1356840367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5653",
            "city": "SAINT MARYS",
            "state": "GA",
            "postal_code": "315585653",
            "telephone_number": "802-272-9871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 FAIRFIELD ST",
            "city": "SAINT ALBANS",
            "state": "VT",
            "postal_code": "054781796",
            "telephone_number": "802-272-9871"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "724 Charlie Smith SR Hwy",
            "address_purpose": "LOCATION",
            "city": "Saint Marys",
            "state": "GA",
            "postal_code": "315589505",
            "country_code": "US",
            "telephone_number": "802-347-3268",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOOD",
        "first_name": "AMY",
        "middle_name": "K",
        "name_prefix": "Mrs.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-05",
        "last_updated": "2023-11-15",
        "certification_date": "2023-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW008648",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "VT",
            "license": "089.0132140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Albans, VT

Sources for this page

Verify at the official NPI Registry.