Active NPI
Amy Daggett, LSW
- Social Worker
- Lorain, OH
National Provider Identifier
1679969372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- S1451410
- Practice address
- 2173 N Ridge Rd E
Lorain, OH 44055-3400 - Phone
- (440) 260-8453
- Fax
- (440) 282-3400
- NPI assigned
- Apr 9, 2015
- 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 | S1451410 | OH | Primary |
Addresses
Primary practice location
2173 N Ridge Rd E
Lorain, OH 44055-3400
Mailing address
2173 N Ridge Rd E
Lorain, OH 44055-3400
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S1451410 | OH | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1428537600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1428537600000",
"number": "1679969372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2173 N RIDGE RD E",
"city": "LORAIN",
"state": "OH",
"postal_code": "440553400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2173 N RIDGE RD E",
"city": "LORAIN",
"state": "OH",
"postal_code": "440553400",
"telephone_number": "440-260-8453",
"fax_number": "440-282-3400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAGGETT",
"first_name": "AMY",
"name_prefix": "Mrs.",
"credential": "LSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-04-09",
"last_updated": "2015-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OH",
"license": "S1451410",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lorain, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.