Active NPI
Amy Scism
- Social Worker
- Tallahassee, FL
National Provider Identifier
1497349021
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 15482
- Practice address
- 230 John Knox Rd Ste 1
Tallahassee, FL 32303-6681 - Phone
- (850) 901-9474
- NPI assigned
- Feb 24, 2021
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 15482 | FL | Primary |
Addresses
Primary practice location
230 John Knox Rd Ste 1
Tallahassee, FL 32303-6681
Mailing address
1836 Portland Ave
Tallahassee, FL 32303-3504
Phone (954) 376-0870
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 |
|---|---|---|---|
| 15482 | FL | MD | Health Educator |
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": "1684368000000",
"number": "1497349021",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1836 PORTLAND AVE",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323033504",
"telephone_number": "954-376-0870"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "230 JOHN KNOX RD STE 1",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323036681",
"telephone_number": "850-901-9474"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCISM",
"first_name": "AMY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-02-24",
"last_updated": "2023-05-18",
"certification_date": "2023-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "FL",
"license": "15482",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tallahassee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.