Amanda Root, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

0630541 Issued in NY

Practice address

9 Mitchell Ave
Binghamton, NY 13903-1619

Phone

(607) 725-8433

NPI assigned

Jul 15, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1594771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594771200000",
    "number": "1497363576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 WOODLAND DR",
            "city": "BINGHAMTON",
            "state": "NY",
            "postal_code": "139015714",
            "telephone_number": "607-725-8433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 MITCHELL AVE",
            "city": "BINGHAMTON",
            "state": "NY",
            "postal_code": "139031619",
            "telephone_number": "607-725-8433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROOT",
        "first_name": "AMANDA",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-15",
        "last_updated": "2020-07-15",
        "certification_date": "2020-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": "NY",
            "license": "0630541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.9mitchellavenue.com/",
            "affiliation": "N",
            "endpointDescription": "Wensite",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Provide information",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Provide information",
            "address_1": "9 Mitchell Ave",
            "city": "Binghamton",
            "state": "NY",
            "country_code": "US",
            "postal_code": "139031619",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Michael Romani
• Denise Romano, PT
• Jessica Til Romero
• Peter Ronan, MD
• Fnu Rooble, M.D.
• Adrienne Rae Ropecka
• Elizabeth Rosa, FNP
• Patrick Gary Rose, PHARMD
• Valerie J Rosenfeld, LCSW
• Elaine I Rosenwach, F.N.P., C.N.M.

• Social Worker in Binghamton, NY
• Providers in Binghamton, NY by specialty
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.