Active NPI
Amy Nelson, LCSW
- Clinical Social Worker
- Seguin, TX
National Provider Identifier
1639481484
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 35998
- Practice address
- 1215 E Court St
Seguin, TX 78155 - Phone
- (830) 491-1427
- NPI assigned
- Jul 9, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 35998 | TX | Primary |
Addresses
Primary practice location
1215 E Court St
Seguin, TX 78155
Mailing address
2925 Gulf Fwy S Ste B
#484
League City, TX 77573-6769
Phone (830) 911-4274
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 216058204 | Medicaid | TX |
Other names 1
- Amy Shoemake
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | familysfirstfocus@me.com | Direct |
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 |
|---|---|---|---|
| 35998 | TX | MD | Speech-Language Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1278633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609372800000",
"number": "1639481484",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2925 GULF FWY S STE B",
"address_2": "#484",
"city": "LEAGUE CITY",
"state": "TX",
"postal_code": "775736769",
"telephone_number": "830-911-4274"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1215 E COURT ST",
"city": "SEGUIN",
"state": "TX",
"postal_code": "78155",
"telephone_number": "830-491-1427"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NELSON",
"first_name": "AMY",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-07-09",
"last_updated": "2020-12-31",
"certification_date": "2020-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "35998",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "216058204",
"state": "TX"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "familysfirstfocus@me.com",
"affiliation": "N",
"endpointDescription": "email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "2925 Gulf Fwy S Ste B",
"address_2": "#484",
"city": "League City",
"state": "TX",
"country_code": "US",
"postal_code": "775736769",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "AMY",
"last_name": "SHOEMAKE",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Seguin, TX
- Keiko Napier
- Sydnee Aamina Nathim
- National Vision Inc (America's Best Contacts & Eyeglasses)
- Navarro Isd
- Joseph Franklin Neely, RPH
- Nesbit Living & Recovery Center (David Nesbit dba Nesbit Living & Recovery Center)
- New Journey Home & Health Care Services LLC (Aim High Day Hab)
- Tiffany Tomlinson Newkirk, LPC
- Donna L. Nicholson, APN
- Charles Raymond Nolan III, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 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.