Amber Pittmann Villanueva, MSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

228716 Issued in MA

Practice address

274 Boston Ave Apt 1
Medford, MA 02155-5218

Phone

(787) 365-6565

NPI assigned

Dec 29, 2022

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

Other identifiers 1

Other names 1

• Amber Villanueva Pittmann Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1672272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672272000000",
    "number": "1841903317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "274 BOSTON AVE APT 1",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "021555218",
            "telephone_number": "787-365-6565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "274 BOSTON AVE APT 1",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "021555218",
            "telephone_number": "787-365-6565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLANUEVA",
        "first_name": "AMBER",
        "middle_name": "PITTMANN",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-29",
        "last_updated": "2022-12-29",
        "certification_date": "2022-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "228716",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASWB-LCSW",
            "identifier": "228716",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMBER",
            "last_name": "VILLANUEVA PITTMANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Amy Lee Velez
• Jeff Velez, M.D.
• Therese Venedikian, DMD
• Michelle Vidal, LICSW
• Madeline G. Vielmann, LICSW
• Sarah Noelle Villard
• Domenic Visocchi, MSPT
• Visology Inc
• Kelley Elizabeth Viswanath, ARNP
• Kathryn Irene Vitiello, DMD

• Clinical Social Worker in Medford, MA
• Providers in Medford, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.