Active NPI
Amanda E Westfall, LCSW
- Clinical Social Worker
- Port Jervis, NY
National Provider Identifier
1649739202
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 085103
- Practice address
- 136 Jersey Ave
Port Jervis, NY 12771-2611 - Phone
- (845) 239-2084
- NPI assigned
- Mar 13, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 | 085103 | NY | Primary |
Addresses
Primary practice location
136 Jersey Ave
Port Jervis, NY 12771-2611
Mailing address
PO Box 792
White Plains, NY 10602-0792
Phone (845) 239-2084
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00 | Other | PRIVATE INSURANCE |
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 |
|---|---|---|---|
| 085103 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1552435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1552435200000",
"number": "1649739202",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 792",
"city": "WHITE PLAINS",
"state": "NY",
"postal_code": "106020792",
"telephone_number": "845-239-2084"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "136 JERSEY AVE",
"city": "PORT JERVIS",
"state": "NY",
"postal_code": "127712611",
"telephone_number": "845-239-2084"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WESTFALL",
"first_name": "AMANDA",
"middle_name": "E",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-03-13",
"last_updated": "2019-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "085103",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRIVATE INSURANCE",
"identifier": "00",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Port Jervis, NY
- Walgreen Co (Walgreens #19500)
- Tiffany Anne Welsh, LPN
- Westchester County Health Care Corporation (Port Jervis Community Hospital, a member of WMCHealth)
- Westchester County Health Care Corporation (Port Jervis Community Hospital, a member of WMCHealth)
- Westchester County Health Care Corporation (WMCHealth - St Joseph's)
- Whitney Rebecca White, DMD
- Lisa Whiteman, SOCIAL WORKER
- Michael Jason Wickham, LCSW
- Robert Wilkins, M.D.
- William B Horn DDS PC (Aesthetic Family Dentistry)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.