Active NPI
Amy Rose Dephilippis, LCSW
- Social Worker
- Sandpoint, ID
National Provider Identifier
1477112795
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- LCSW-42978
- Practice address
- 1224 Washington Ave Ste 205a
Sandpoint, ID 83864-5055 - Phone
- (208) 290-4718
- Fax
- (208) 277-3172
- NPI assigned
- Jun 10, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | LCSW-42978 | ID | Primary |
| Social Worker | 104100000X | SWI.LW.61544760 | WA |
Addresses
Primary practice location
1224 Washington Ave Ste 205a
Sandpoint, ID 83864-5055
Mailing address
1224 Washington Ave Ste 205a
Sandpoint, ID 83864-5055
Phone (208) 290-4718
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 |
|---|---|---|---|
| LCSW-42978 | ID | MD | Social Worker |
| SWI.LW.61544760 | WA | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healing Connections, LLC | Social Worker | Current | Accepting new patients |
Locations
1224 Washington Ave
Ste 205A
Sandpoint, ID 83864
Phone (208) 290-4718
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.
-
- Social Worker
- Sandpoint, ID
- NPI 1639046170
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560124800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779840000000",
"number": "1477112795",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1224 WASHINGTON AVE STE 205A",
"city": "SANDPOINT",
"state": "ID",
"postal_code": "838645055",
"telephone_number": "208-290-4718",
"fax_number": "208-277-3172"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1224 WASHINGTON AVE STE 205A",
"city": "SANDPOINT",
"state": "ID",
"postal_code": "838645055",
"telephone_number": "208-290-4718",
"fax_number": "208-277-3172"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEPHILIPPIS",
"first_name": "AMY",
"middle_name": "ROSE",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-06-10",
"last_updated": "2026-05-27",
"certification_date": "2026-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "ID",
"license": "LCSW-42978",
"primary": true
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "WA",
"license": "SWI.LW.61544760",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sandpoint, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.