Individual provider Active NPI

Amy Goldsheid-Martin, LCSW

  • Clinical Social Worker
  • Plainview, NY
National Provider Identifier
1730287830
Registry record updated May 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
081038-1 Issued in NY
Practice address
50 Sagamore St
Plainview, NY 11803-2219
Phone
(516) 353-5277
Fax
(801) 642-5979
NPI assigned
Sep 20, 2006
Last updated
May 12, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 12, 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 081038-1 NY Primary

Addresses

Primary practice location

50 Sagamore St
Plainview, NY 11803-2219

Mailing address

50 Sagamore St
Plainview, NY 11803-2219
Phone (516) 353-5277

Other names 1

  • Amy Goldsheid Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150323000612 NY Practitioner - Clinical Social Worker 1052638582 Reassigns benefits to 1 organization
Practice locations: Plainview, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

50 Sagamore St
Plainview, NY 11803-2219
Phone (516) 353-5277

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
081038-1NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Amy Goldsheid-Martin LCSW PC Clinical CurrentSince Sep 1, 2019 Accepting new patients
Long Island Consultation Center PastSince Aug 15, 2021 Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/liccnewyorkcity/r4/

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": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431388800000",
    "number": "1730287830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 SAGAMORE ST",
            "city": "PLAINVIEW",
            "state": "NY",
            "postal_code": "118032219",
            "telephone_number": "516-353-5277",
            "fax_number": "801-642-5979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 SAGAMORE ST",
            "city": "PLAINVIEW",
            "state": "NY",
            "postal_code": "118032219",
            "telephone_number": "516-353-5277",
            "fax_number": "801-642-5979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDSHEID-MARTIN",
        "first_name": "AMY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2015-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "081038-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "GOLDSHEID",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Plainview, NY

Sources for this page

Verify at the official NPI Registry.