Elaine Amberman, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW 11267 Issued in FL

Practice address

117 7TH St N
Unit 40
Bradenton Beach, FL 34217-3304

Phone

(941) 201-5092

NPI assigned

Sep 30, 2016

Last updated

Sep 30, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1475193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475193600000",
    "number": "1740739861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 7TH ST N",
            "address_2": "UNIT 40",
            "city": "BRADENTON BEACH",
            "state": "FL",
            "postal_code": "342173304",
            "telephone_number": "941-201-5092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 7TH ST N",
            "address_2": "UNIT 40",
            "city": "BRADENTON BEACH",
            "state": "FL",
            "postal_code": "342173304",
            "telephone_number": "941-201-5092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMBERMAN",
        "first_name": "ELAINE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-30",
        "last_updated": "2016-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW 11267",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "071069",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Bradenton Beach, FL
• Providers in Bradenton Beach, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2016; 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.