Individual provider Active NPI

Amy P. Jewett, MSW, LCSW-R

  • Mental Health Counselor
  • Pittsford, NY
National Provider Identifier
1497890404
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
R039647 Issued in NY
Practice address
69 Reitz Pkwy
Pittsford, NY 14534-2225
Phone
(585) 586-2720
NPI assigned
Feb 20, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X R039647 NY Primary

Addresses

Primary practice location

69 Reitz Pkwy
Pittsford, NY 14534-2225

Mailing address

69 Reitz Pkwy
Pittsford, NY 14534-2225
Phone (585) 385-1225

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
I20180228000812 NY Practitioner - Clinical Social Worker 6002177425 Practice locations: Pittsford, NY

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R039647NYMDMental Health Counselor
039647NYMDPhysical Medicine & Rehabilitation Physician

NPI Registry JSON

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497890404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69 REITZ PKWY",
            "city": "PITTSFORD",
            "state": "NY",
            "postal_code": "145342225",
            "telephone_number": "585-385-1225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69 REITZ PKWY",
            "city": "PITTSFORD",
            "state": "NY",
            "postal_code": "145342225",
            "telephone_number": "585-586-2720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEWETT",
        "first_name": "AMY",
        "middle_name": "P.",
        "name_prefix": "Mrs.",
        "credential": "MSW, LCSW-R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "R039647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsford, NY

Sources for this page

Verify at the official NPI Registry.