Individual provider Active NPI

Amy Sheff Neumann, MSW, LCSW, RPT-S

  • Clinical Social Worker
  • Fairfax, VA
National Provider Identifier
1508115593
Registry record updated May 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW.09927150 Issued in CO
Practice address
10640 Page Ave Ste 340
Fairfax, VA 22030-4012
Phone
(917) 502-9096
NPI assigned
Sep 5, 2012
Last updated
May 3, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CSW.09927150 CO Primary
Clinical Social Worker 1041C0700X 0904008037 VA

Addresses

Primary practice location

10640 Page Ave Ste 340
Fairfax, VA 22030-4012

Mailing address

964 Stagecoach Dr
Lafayette, CO 80026-8702
Phone (917) 502-9096

Other practice location 1

864 W South Boulder Rd
Louisville, CO 80027-2410
Phone (917) 502-9096

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 19, 2024 through Jan 19, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CSW.09927150COMDClinical Social Worker
0904008037VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Creative Therapy Associates, LLC Past Accepting new patients

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, 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": "1346803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683072000000",
    "number": "1508115593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "964 STAGECOACH DR",
            "city": "LAFAYETTE",
            "state": "CO",
            "postal_code": "800268702",
            "telephone_number": "917-502-9096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10640 PAGE AVE STE 340",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220304012",
            "telephone_number": "917-502-9096"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "864 W South Boulder Rd",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "CO",
            "postal_code": "800272410",
            "country_code": "US",
            "telephone_number": "917-502-9096",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEUMANN",
        "first_name": "AMY",
        "middle_name": "SHEFF",
        "name_prefix": "Ms.",
        "credential": "MSW, LCSW, RPT-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-05",
        "last_updated": "2023-05-03",
        "certification_date": "2023-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW.09927150",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904008037",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

Verify at the official NPI Registry.