Individual provider Active NPI

Amy Ann Larmon, LCSW-R

  • Clinical Social Worker
  • Keeseville, NY
National Provider Identifier
1639253172
Registry record updated Nov 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R076039-1 Issued in NY
Practice address
1790 Main St
Keeseville, NY 12944-3743
Phone
(518) 570-8458
NPI assigned
Oct 24, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X R076039-1 NY Primary

Addresses

Primary practice location

1790 Main St
Keeseville, NY 12944-3743

Mailing address

PO Box 324
Keeseville, NY 12944-0324
Phone (518) 570-8458

Other practice location 1

8 Broad St Ste 601
Plattsburgh, NY 12901-3420
Phone (518) 825-1555

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070721000005 NY Practitioner - Clinical Social Worker 6406957364 Reassigns benefits to 1 organization
Practice locations: Plattsburgh, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1790 Main St
Keeseville, NY 12944-3743
Phone (518) 570-8458

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R076039-1NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
North Country Behavioral Medicine PLLC CurrentSince Dec 23, 2019 Accepting new patients
Amy Larmon LCSW PLLC Clinical CurrentSince Nov 1, 2025 Accepting new patients
Behavioral Health Services North, Inc. PastSince Apr 19, 2020 Accepting new patients
Behavioral Health Services North, Inc. PastSince Apr 28, 2024 Accepting new patients
Beach Medical Services PastSince Dec 1, 2016 Accepting new patients

Locations

1790 Main St
Keeseville, NY 12944
Phone (518) 570-8458

3384 State Route 22
Ste 4
Peru, NY 12972
Phone (518) 643-5550

8 Broad St
Plattsburgh, NY 12901
Phone (518) 563-8880

8 Broad St
Ste 601
Plattsburgh, NY 12901
Phone (518) 825-1555

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764028800000",
    "number": "1639253172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 324",
            "city": "KEESEVILLE",
            "state": "NY",
            "postal_code": "129440324",
            "telephone_number": "518-570-8458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1790 MAIN ST",
            "city": "KEESEVILLE",
            "state": "NY",
            "postal_code": "129443743",
            "telephone_number": "518-570-8458"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8 Broad St Ste 601",
            "address_purpose": "LOCATION",
            "city": "Plattsburgh",
            "state": "NY",
            "postal_code": "129013420",
            "country_code": "US",
            "telephone_number": "518-825-1555",
            "fax_number": "518-825-1550",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LARMON",
        "first_name": "AMY",
        "middle_name": "ANN",
        "name_prefix": "Miss",
        "credential": "LCSW-R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-24",
        "last_updated": "2025-11-25",
        "certification_date": "2025-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R076039-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Keeseville, NY

Sources for this page

Verify at the official NPI Registry.