Individual provider Active NPI

Amy Noreen Stolberg, LCSW

  • Clinical Social Worker
  • Rochester, NY
National Provider Identifier
1477808624
Registry record updated Jan 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
919 Winton Rd S Ste 211
Rochester, NY 14618-1637
Phone
(857) 396-9685
NPI assigned
Jul 13, 2012
Last updated
Jan 13, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NY Primary

Addresses

Primary practice location

919 Winton Rd S Ste 211
Rochester, NY 14618-1637

Mailing address

919 Winton Rd S Ste 211
Rochester, NY 14618-1637
Phone (585) 739-6968

Other identifiers 1

IdentifierTypeStateIssuer
03586725MedicaidNY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address AmyStolbergLCSW@outlook.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20130109000008 NY Practitioner - Clinical Social Worker 1254584956 Reassigns benefits to 1 organization
Practice locations: Rochester, NY

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Amy Stolberg, LCSW, PC Clinical CurrentSince Nov 2, 2017 Accepting new patients
Shawn Parker LCSW, PLLC Clinical Past Accepting new patients

Locations

919 Winton Rd S
Ste 211
Rochester, NY 14618
Phone (585) 739-6968

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1342137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673568000000",
    "number": "1477808624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "919 WINTON RD S STE 211",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146181637",
            "telephone_number": "585-739-6968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "919 WINTON RD S STE 211",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146181637",
            "telephone_number": "857-396-9685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOLBERG",
        "first_name": "AMY",
        "middle_name": "NOREEN",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-13",
        "last_updated": "2023-01-13",
        "certification_date": "2021-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03586725",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "AmyStolbergLCSW@outlook.com",
            "affiliation": "N",
            "endpointDescription": "Professional Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Email",
            "address_1": "919 Winton Rd S Ste 211",
            "city": "Rochester",
            "state": "NY",
            "country_code": "US",
            "postal_code": "146181637",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.