Active NPI
Amy Penny
- Clinical Social Worker
- Boynton Beach, FL
National Provider Identifier
1740697473
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW13822
- Practice address
- 115 W Woolbright Rd
Boynton Beach, FL 33435-5908 - Phone
- (561) 736-6501
- NPI assigned
- Jul 15, 2014
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | SW13822 | FL | Primary |
Addresses
Primary practice location
115 W Woolbright Rd
Boynton Beach, FL 33435-5908
Mailing address
115 W Woolbright Rd
Boynton Beach, FL 33435-5908
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669691291 | Other | FL | PRIVATE |
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 |
|---|---|---|---|
| SW13822 | FL | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1405382400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563148800000",
"number": "1740697473",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 W WOOLBRIGHT RD",
"city": "BOYNTON BEACH",
"state": "FL",
"postal_code": "334355908"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 W WOOLBRIGHT RD",
"city": "BOYNTON BEACH",
"state": "FL",
"postal_code": "334355908",
"telephone_number": "561-736-6501"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PENNY",
"first_name": "AMY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-07-15",
"last_updated": "2019-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW13822",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRIVATE",
"identifier": "1669691291",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Boynton Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.