Active NPI
Amy Kate Silvestro, LCSW- R
- Clinical Social Worker
- Port Ewen, NY
National Provider Identifier
1801164397
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- R-037349-1
- Practice address
- 319 Broadway
Port Ewen, NY 12466-5501 - Phone
- (845) 399-8707
- NPI assigned
- Dec 12, 2011
- Last updated
- Dec 12, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 | R-037349-1 | NY | Primary |
Addresses
Primary practice location
319 Broadway
Port Ewen, NY 12466-5501
Mailing address
PO Box 1176
Port Ewen, NY 12466-1176
Phone (845) 399-8707
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 |
|---|---|---|---|
| R-037349-1 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323648000000",
"number": "1801164397",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1176",
"city": "PORT EWEN",
"state": "NY",
"postal_code": "124661176",
"telephone_number": "845-399-8707"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "319 BROADWAY",
"city": "PORT EWEN",
"state": "NY",
"postal_code": "124665501",
"telephone_number": "845-399-8707"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SILVESTRO",
"first_name": "AMY",
"middle_name": "KATE",
"name_prefix": "Ms.",
"credential": "LCSW- R",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-12-12",
"last_updated": "2011-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "R-037349-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Port Ewen, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.