Individual provider Active NPI

Amber Marie Paules, LCSW

  • Clinical Social Worker
  • South Williamsport, PA
National Provider Identifier
1831072578
Registry record updated Jul 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW02469 Issued in PA
Practice address
2590 Loray Ave
South Williamsport, PA 17702-6400
Phone
(570) 220-1107
NPI assigned
Jul 29, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 29, 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 CW02469 PA Primary

Addresses

Primary practice location

2590 Loray Ave
South Williamsport, PA 17702-6400

Mailing address

2590 Loray Ave
South Williamsport, PA 17702-6400
Phone (570) 220-1107

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250906000240 PA Practitioner - Clinical Social Worker 5496257651 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mental Health Specialty Group PAGroup PAC ID 8921466228, 726 clinicians

Practice addresses (Care Compare)

1650 Market St
Philadelphia, PA 19103-7301
Phone (323) 205-7088

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CW02469PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mental Health Specialty Group PA CurrentSince Aug 22, 2025 Accepting new patients

Locations

1650 Market St
Philadelphia, PA 19103
Phone (215) 514-0760

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1753747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753747200000",
    "number": "1831072578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2590 LORAY AVE",
            "city": "SOUTH WILLIAMSPORT",
            "state": "PA",
            "postal_code": "177026400",
            "telephone_number": "570-220-1107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2590 LORAY AVE",
            "city": "SOUTH WILLIAMSPORT",
            "state": "PA",
            "postal_code": "177026400",
            "telephone_number": "570-220-1107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAULES",
        "first_name": "AMBER",
        "middle_name": "MARIE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-07-29",
        "last_updated": "2025-07-29",
        "certification_date": "2025-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW02469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Williamsport, PA

Sources for this page

Verify at the official NPI Registry.