Active NPI
Amy Lander, LCSW-C
- Clinical Social Worker
- Cumberland, MD
National Provider Identifier
1578090700
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 21411
- Practice address
- 200 Glenn St Ste 302
Cumberland, MD 21502-2583 - Phone
- (240) 580-1919
- NPI assigned
- May 18, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 21411 | MD | |
| Clinical Social Worker | 1041C0700X | 21411 | MD | Primary |
Addresses
Primary practice location
200 Glenn St Ste 302
Cumberland, MD 21502-2583
Mailing address
200 Glenn St Ste 302
Cumberland, MD 21502-2583
Phone (240) 580-1919
Other practice location 1
200 Glenn St Ste 302
Cumberland, MD 21502
Phone (240) 580-1919
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21411 | MD | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Western Maryland Health Care Corporation | 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 and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- Bruceton Mills, WV
- NPI 1679269807
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1495065600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602720000000",
"number": "1578090700",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 GLENN ST STE 302",
"city": "CUMBERLAND",
"state": "MD",
"postal_code": "215022583",
"telephone_number": "240-580-1919",
"fax_number": "240-362-7409"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 GLENN ST STE 302",
"city": "CUMBERLAND",
"state": "MD",
"postal_code": "215022583",
"telephone_number": "240-580-1919"
}
],
"practiceLocations": [
{
"address_1": "200 Glenn St Ste 302",
"address_purpose": "LOCATION",
"city": "Cumberland",
"state": "MD",
"postal_code": "21502",
"country_code": "US",
"telephone_number": "240-580-1919",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LANDER",
"first_name": "AMY",
"credential": "LCSW-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-05-18",
"last_updated": "2020-10-15",
"certification_date": "2020-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MD",
"license": "21411",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "21411",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cumberland, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.