Amy Vailliencourt, ISW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

7731 N Military TRL
West Palm Beach, FL 33410-7430

Phone

(561) 244-9499

Fax

(561) 345-3800

NPI assigned

Oct 10, 2017

Last updated

Oct 10, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1507593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507593600000",
    "number": "1790295327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7731 N MILITARY TRL",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334107430",
            "telephone_number": "561-244-9499",
            "fax_number": "561-345-3800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7731 N MILITARY TRL",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334107430",
            "telephone_number": "561-244-9499",
            "fax_number": "561-345-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAILLIENCOURT",
        "first_name": "AMY",
        "credential": "ISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-10",
        "last_updated": "2017-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• V&E Residential Housing, Inc
• Vaccine Van RX, LLC
• Nichard Vaden
• Ramon E Vado, M.D.
• Jordan Seth Vaillancourt
• Kens Darly Val
• Charline J. Valcin
• Wyonna Marie Valcin, RBT
• Romulo B Valdes Alvarez
• Yurima Valdes Alvarez

• Clinical Social Worker in West Palm Beach, FL
• Providers in West Palm 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 Oct 10, 2017; 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.