Individual provider Active NPI

Amy Shepherd Enroughty, LCSW

  • Clinical Social Worker
  • North Chesterfield, VA
National Provider Identifier
1811781206
Registry record updated Apr 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904017926 Issued in VA
Practice address
1812 Bellows Dr
North Chesterfield, VA 23225-7475
Phone
(804) 514-1769
NPI assigned
Apr 8, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 0904017926 VA Primary

Addresses

Primary practice location

1812 Bellows Dr
North Chesterfield, VA 23225-7475

Mailing address

1812 Bellows Dr
North Chesterfield, VA 23225-7475
Phone (804) 514-1769

Other names 1

  • Amy Elizabeth Shepherd 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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0904017926VAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1744070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744070400000",
    "number": "1811781206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1812 BELLOWS DR",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232257475",
            "telephone_number": "804-514-1769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1812 BELLOWS DR",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232257475",
            "telephone_number": "804-514-1769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENROUGHTY",
        "first_name": "AMY",
        "middle_name": "SHEPHERD",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-04-08",
        "last_updated": "2025-04-08",
        "certification_date": "2025-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904017926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "SHEPHERD",
            "middle_name": "ELIZABETH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in North Chesterfield, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2025; 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.