Amy Jo Smith, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

074897-1 Issued in NY

Practice address

325 Columbia St
Hudson, NY 12534-1905

Phone

(518) 828-9446

Fax

(518) 828-9450

NPI assigned

Jun 28, 2006

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

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Columbia County

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Hudson, NY
  • NPI 1689618977
  NPD (past)
• Columbia County

  • Ambulance
  • Hudson, NY
  • NPI 1972056026
  NPD (past)

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1528095916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6435 PETERS LN",
            "city": "VALATIE",
            "state": "NY",
            "postal_code": "121849329",
            "telephone_number": "518-758-7732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 COLUMBIA ST",
            "city": "HUDSON",
            "state": "NY",
            "postal_code": "125341905",
            "telephone_number": "518-828-9446",
            "fax_number": "518-828-9450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "AMY",
        "middle_name": "JO",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "074897-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Connie J Signor, RN PNP
• Kelly J Sink, RD
• Edward Joseph Sisk, MS , RYT200
• Sabrena Ann Smiel, LMSW
• Abbey Faye Smith
• Corey Ryan Smith, ATC, PTA, CSCS
• Denise L Smith, M.S.
• Jonathan Michael Smith, LMT
• Megan Grace Smith, LMSW
• Sarah Smith

• Clinical Social Worker in Hudson, NY
• Providers in Hudson, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.