Individual provider Active NPI

Denise Joreen Ammerman, LCSW-R

  • Clinical Social Worker
  • Buffalo, NY
National Provider Identifier
1790147403
Registry record updated May 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R73-080821 Issued in NY
Practice address
138 Liston Street
Buffalo, NY 14223-1323
Phone
(716) 875-2526
Fax
(716) 242-0082
NPI assigned
Mar 22, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2020

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 73-080821 NY
Clinical Social Worker 1041C0700X R73-080821 NY Primary

Addresses

Primary practice location

138 Liston Street
Buffalo, NY 14223-1323

Mailing address

138 Liston Street
Buffalo, NY 14223-1323
Phone (716) 875-2526

Other identifiers 1

IdentifierTypeStateIssuer
14-1663311OtherNYSTATE TAX ID #

Other names 1

  • Miss Denise Joreen Andrews Former name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
73-080821NYMDClinical Social Worker
R73-080821NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1458604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590624000000",
    "number": "1790147403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 LISTON STREET",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142231323",
            "telephone_number": "716-875-2526",
            "fax_number": "716-242-0082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 LISTON STREET",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142231323",
            "telephone_number": "716-875-2526",
            "fax_number": "716-242-0082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMMERMAN",
        "first_name": "DENISE",
        "middle_name": "JOREEN",
        "name_prefix": "Mrs.",
        "credential": "LCSW-R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-22",
        "last_updated": "2020-05-28",
        "certification_date": "2020-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "73-080821",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R73-080821",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE TAX ID #",
            "identifier": "14-1663311",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DENISE",
            "last_name": "ANDREWS",
            "middle_name": "JOREEN",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Buffalo, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2020; 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.