Individual provider Active NPI

Amy L Bobb, LCSW

  • Clinical Social Worker
  • King of Prussia, PA
National Provider Identifier
1639040470
Registry record updated Nov 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW026575 Issued in PA
Practice address
610 Freedom Business Ctr Dr
King of Prussia, PA 19406-1329
Phone
(484) 224-7913
Fax
(484) 224-7914
NPI assigned
Sep 15, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2025

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 CW026575 PA Primary
Social Worker 104100000X SW133299 PA

Addresses

Primary practice location

610 Freedom Business Ctr Dr
King of Prussia, PA 19406-1329

Mailing address

610 Freedom Business Ctr Dr
King of Prussia, PA 19406-1329
Phone (484) 224-7913

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
SW133299PAMDSocial Worker
CW026575PAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1757894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762905600000",
    "number": "1639040470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 FREEDOM BUSINESS CTR DR",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194061329",
            "telephone_number": "484-224-7913",
            "fax_number": "484-224-7914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 FREEDOM BUSINESS CTR DR",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194061329",
            "telephone_number": "484-224-7913",
            "fax_number": "484-224-7914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOBB",
        "first_name": "AMY",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-15",
        "last_updated": "2025-11-12",
        "certification_date": "2025-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW026575",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW133299",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in King of Prussia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2025; 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.