Active NPI
Amy Earnest
- Social Worker
- Glenside, PA
National Provider Identifier
1679097885
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- SW126464
- Practice address
- 115 E Glenside Ave
Glenside, PA 19001 - Phone
- (267) 210-7037
- NPI assigned
- Jul 29, 2017
- Last updated
- Jul 29, 2017
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | SW126464 | PA | Primary |
Addresses
Primary practice location
115 E Glenside Ave
Glenside, PA 19001
Mailing address
2432 Avondale Ave
Roslyn, PA 19001
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180112000743 | PA | Practitioner - Clinical Social Worker | 0446519755 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW126464 | PA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1501286400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1501286400000",
"number": "1679097885",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2432 AVONDALE AVE",
"city": "ROSLYN",
"state": "PA",
"postal_code": "19001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 E GLENSIDE AVE",
"city": "GLENSIDE",
"state": "PA",
"postal_code": "19001",
"telephone_number": "267-210-7037"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EARNEST",
"first_name": "AMY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-07-29",
"last_updated": "2017-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "PA",
"license": "SW126464",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.