Amy Decker, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW6405 Issued in FL

Practice address

8825 Perimeter Park Blvd
Suite 601
Jacksonville, FL 32216-1108

Phone

(904) 997-0195

Fax

(904) 997-0163

NPI assigned

Feb 9, 2007

Last updated

Oct 11, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Life Counseling Center, Inc.

  • Mental Health Counselor
  • Jacksonville, FL
  • NPI 1447361035
  NPD Authorized official

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633910400000",
    "number": "1508907098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8825 PERIMETER PARK BLVD",
            "address_2": "SUITE 601",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322161108",
            "telephone_number": "904-997-0195",
            "fax_number": "904-997-0163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8825 PERIMETER PARK BLVD",
            "address_2": "SUITE 601",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322161108",
            "telephone_number": "904-997-0195",
            "fax_number": "904-997-0163"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2384 Sadler Rd",
            "address_purpose": "LOCATION",
            "city": "Fernandina Beach",
            "state": "FL",
            "postal_code": "320344555",
            "country_code": "US",
            "telephone_number": "904-997-0195",
            "fax_number": "904-997-0163",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DECKER",
        "first_name": "AMY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-09",
        "last_updated": "2021-10-11",
        "certification_date": "2021-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW6405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Decamara
• Julia Ann Decanio, MSW, LCSW
• Caitlin Christine Decara, MD
• Marcus Decarvalho, M.D.
• Amanda Brooks Decker, MA, RMHCI
• Breanna Decker
• Carol Decker
• Rachel Alexandra Decker, ARNP
• Sarah Schumacher Decker, ARNP
• Alex Decman

• Clinical Social Worker in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2021; 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.