Individual provider Active NPI

Amy Baldwin Berry, MSW, LCSW-R

  • Clinical Social Worker
  • Rochester, NY
National Provider Identifier
1720195050
Registry record updated Aug 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R051666-1 Issued in NY
Practice address
16 Goodman St N
Suite 300
Rochester, NY 14607-1554
Phone
(585) 721-8493
NPI assigned
Aug 24, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 17, 2015

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 R051666-1 NY Primary

Addresses

Primary practice location

16 Goodman St N
Suite 300
Rochester, NY 14607-1554

Mailing address

16 Goodman St N
Suite 300
Rochester, NY 14607-1554
Phone (585) 223-6793

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
R051666-1NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
County of Genesee County Treasurer Past Accepting new patients
County of Genesee County Treasurer PastSince Mar 2, 1998 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439769600000",
    "number": "1720195050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 GOODMAN ST N",
            "address_2": "SUITE 300",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146071554",
            "telephone_number": "585-223-6793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 GOODMAN ST N",
            "address_2": "SUITE 300",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146071554",
            "telephone_number": "585-721-8493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERRY",
        "first_name": "AMY",
        "middle_name": "BALDWIN",
        "name_prefix": "Mrs.",
        "credential": "MSW, LCSW-R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-24",
        "last_updated": "2015-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R051666-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 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.

Verify at the official NPI Registry.