Individual provider Active NPI

Amy Schumaker

  • Clinical Social Worker
  • Palestine, TX
National Provider Identifier
1376137885
Registry record updated Aug 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
105161 Issued in TX
Practice address
224 An County Road 417
Palestine, TX 75803-2555
Phone
(203) 516-8913
NPI assigned
Feb 24, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 24, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 11370 CT
Clinical Social Worker 1041C0700X 44SC06010200 NJ
Clinical Social Worker 1041C0700X L12556 OR
Clinical Social Worker 1041C0700X 105161 TX Primary

Addresses

Primary practice location

224 An County Road 417
Palestine, TX 75803-2555

Mailing address

224 An County Road 417
Palestine, TX 75803-2555
Phone (203) 516-8913

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL 2035168913 Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, TX, OR3 enrollments
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.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20210830000036 NJ Practitioner - Clinical Social Worker 6103221130 Reassigns benefits to 1 organization
I20210830003021 TX Practitioner - Clinical Social Worker 6103221130 Reassigns benefits to 1 organization
I20211201003178 OR Practitioner - Clinical Social Worker 6103221130 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Reclaim Life LLCGroup PAC ID 7416293493, 7 clinicians

Practice addresses (Care Compare)

425 2ND Ave SW
Suite 102
Albany, OR 97321-2483
Phone (541) 286-3209

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11370CTMDClinical Social Worker
L12556ORMDClinical Social Worker
105161TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Reclaim Life, LLC Clinical CurrentSince Jul 30, 2024 Accepting new patients
Headlight Health Medical Group PLLC CurrentSince Mar 10, 2026 Accepting new patients
Shashita Inamdar MD Professional Corporation Past Accepting new patients

Locations

425 2nd Ave SW
Ste 102
Albany, OR 97321
Phone (541) 286-3209

4201 W Parmer Ln
Ste B225
Austin, TX 78727

Interoperability endpoints

  • Direct secure messaging: amy.schumaker.p1@direct.sokya.nextgenshare.com

Organizations & group practices 5

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": "1614124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629763200000",
    "number": "1376137885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 AN COUNTY ROAD 417",
            "city": "PALESTINE",
            "state": "TX",
            "postal_code": "758032555",
            "telephone_number": "203-516-8913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 AN COUNTY ROAD 417",
            "city": "PALESTINE",
            "state": "TX",
            "postal_code": "758032555",
            "telephone_number": "203-516-8913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHUMAKER",
        "first_name": "AMY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-24",
        "last_updated": "2021-08-24",
        "certification_date": "2021-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "11370",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC06010200",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L12556",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "105161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "2035168913",
            "affiliation": "N",
            "endpointDescription": "Cell",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "224 An County Road 417",
            "city": "Palestine",
            "state": "TX",
            "country_code": "US",
            "postal_code": "758032555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Palestine, TX

Sources for this page

Verify at the official NPI Registry.