Individual provider Active NPI

Karen Ann Susanna Amin, LCSW

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1649750084
Registry record updated Aug 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
079228-1 Issued in NY
Practice address
315 5TH Ave RM 601
New York, NY 10016-6591
Phone
(646) 733-6529
Fax
(646) 774-0385
NPI assigned
Aug 15, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2018

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 079228-1 NY Primary

Addresses

Primary practice location

315 5TH Ave RM 601
New York, NY 10016-6591

Mailing address

315 5TH Ave RM 601
New York, NY 10016-6591
Phone (646) 733-6529

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

LicenseStateTypeSpecialty
079228-1NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Embracing Wellness Clinical Current Accepting new patients
Union Square Counseling LCSW P.C. PastSince Jan 1, 2019 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1534291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534291200000",
    "number": "1649750084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 5TH AVE RM 601",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100166591",
            "telephone_number": "646-733-6529",
            "fax_number": "646-774-0385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 5TH AVE RM 601",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100166591",
            "telephone_number": "646-733-6529",
            "fax_number": "646-774-0385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMIN",
        "first_name": "KAREN ANN",
        "middle_name": "SUSANNA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-15",
        "last_updated": "2018-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "079228-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2018; 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.