Individual provider Active NPI

Cynthia W Amie, LCSW

  • Clinical Social Worker
  • Slidell, LA
National Provider Identifier
1730489683
Registry record updated Mar 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
9483 Issued in LA
Practice address
1009 Carnation St
Suite a
Slidell, LA 70460-1900
Phone
(985) 259-9786
Fax
(985) 259-4020
NPI assigned
Oct 26, 2010
Last updated
Mar 17, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 9483 LA Primary
Clinical Social Worker 1041C0700X C7676 MS

Addresses

Primary practice location

1009 Carnation St
Suite a
Slidell, LA 70460-1900

Mailing address

1009 Carnation St
Suite a
Slidell, LA 70460-1900
Phone (985) 259-9786

Other identifiers 1

IdentifierTypeStateIssuer
600705700MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20130501000018 LA Practitioner - Clinical Social Worker 3577700012 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3408 Pontchartrain Dr
Slidell, LA 70458-4830
Phone (985) 259-9786

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C7676MSMDClinical Social Worker

Organizations & group practices 1

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": "1288051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489708800000",
    "number": "1730489683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1009 CARNATION ST",
            "address_2": "SUITE A",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704601900",
            "telephone_number": "985-259-9786",
            "fax_number": "985-259-4020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1009 CARNATION ST",
            "address_2": "SUITE A",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704601900",
            "telephone_number": "985-259-9786",
            "fax_number": "985-259-4020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMIE",
        "first_name": "CYNTHIA",
        "middle_name": "W",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-26",
        "last_updated": "2017-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "9483",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MS",
            "license": "C7676",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "600705700",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Slidell, LA

Sources for this page

Verify at the official NPI Registry.