Organization Active NPI

Amy B. Pincus, LLC

  • Clinical Social Worker
  • Beachwood, OH
National Provider Identifier
1740093020
Registry record updated Apr 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
AMY B. PINCUS, LLC
Practice address
21825 Chagrin Blvd Ste 345
Beachwood, OH 44122-5352
Phone
(216) 264-9682
NPI assigned
Jan 30, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2025

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

Authorized official

Name
Ms. Amy B. PincusNPI 1295311991
Title
President
Phone
(216) 264-9682

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

21825 Chagrin Blvd Ste 345
Beachwood, OH 44122-5352

Mailing address

24340 Fairmount Blvd
Beachwood, OH 44122-2234
Phone (412) 330-8982

Other names 1

  • Blossoming in Therapy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250312000497 OH Part B Supplier - Clinic/Group Practice 7810418498 Receives reassigned benefits from 1 practitioner
Practice locations: Beachwood, OH

National Provider Directory

National Provider Directory

Locations

21403 Chagrin Blvd
Ste 250
Beachwood, OH 44122

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1738195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745712000000",
    "number": "1740093020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24340 FAIRMOUNT BLVD",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441222234",
            "telephone_number": "412-330-8982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21825 CHAGRIN BLVD STE 345",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225352",
            "telephone_number": "216-264-9682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMY B. PINCUS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-30",
        "last_updated": "2025-04-27",
        "certification_date": "2025-04-27",
        "status": "A",
        "authorized_official_last_name": "PINCUS",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "216-264-9682",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blossoming in Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Blossoming in Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Beachwood, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.