Active NPI
Starlynn H Amadeo
- Clinical Social Worker
- Clinton, LA
National Provider Identifier
1366730574
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 9506
- Practice address
- 11990 Jackson St
Clinton, LA 70722-3210 - Phone
- (225) 683-5292
- Fax
- (225) 683-3411
- NPI assigned
- Jul 21, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 9506 | LA | Primary |
Addresses
Primary practice location
11990 Jackson St
Clinton, LA 70722-3210
Mailing address
PO Box 395
Clinton, LA 70722-0395
Phone (225) 683-5292
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9506 | LA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1311206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1381708800000",
"number": "1366730574",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 395",
"city": "CLINTON",
"state": "LA",
"postal_code": "707220395",
"telephone_number": "225-683-5292",
"fax_number": "225-683-3411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11990 JACKSON ST",
"city": "CLINTON",
"state": "LA",
"postal_code": "707223210",
"telephone_number": "225-683-5292",
"fax_number": "225-683-3411"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AMADEO",
"first_name": "STARLYNN",
"middle_name": "H",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-07-21",
"last_updated": "2013-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "LA",
"license": "9506",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clinton, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 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.