Amy West Madenberg, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

065666-1 Issued in NY

Practice address

823 W Jericho Tpke
Suite 1C
Smithtown, NY 11787-3216

Phone

(631) 864-1477

Fax

(631) 543-0654

NPI assigned

Oct 24, 2011

Last updated

Oct 24, 2011By 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)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sage Hill Counseling Psychotherapy Social Work LCSW PC.

  • Clinical Social Worker
  • Smithtown, NY
  • NPI 1700937448
  NPD (past)

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

{
    "created_epoch": "1319414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319414400000",
    "number": "1538445465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 NORWOOD AVE",
            "city": "NORTHPORT",
            "state": "NY",
            "postal_code": "117681959",
            "telephone_number": "516-446-0532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "823 W JERICHO TPKE",
            "address_2": "SUITE 1C",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117873216",
            "telephone_number": "631-864-1477",
            "fax_number": "631-543-0654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADENBERG",
        "first_name": "AMY",
        "middle_name": "WEST",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-24",
        "last_updated": "2011-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "065666-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lanie Alvarez Maagad
• Jennifer Carolina Macancela
• Gilda Macdonald, R-LCSW
• Kristin J Macdougall, MD
• Melissa Madarasz, CCC-SLP
• Tomal Kumar Magar
• Frank Maggio
• Casey Morgan Maguffin, PHARM.D
• Timothy Brian Mahan, N,P,
• Linda Mahler, NP

• Clinical Social Worker in Smithtown, NY
• Providers in Smithtown, 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 Oct 24, 2011; 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.