Active NPI
Amy Eisenberg, MSW LICSW
- Clinical Social Worker
- Dartmouth, MA
National Provider Identifier
1851555205
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 106617
- Practice address
- 25 Old Westport Rd
Dartmouth, MA 02747-2513 - Phone
- (508) 993-2090
- Fax
- (508) 993-2091
- NPI assigned
- Jul 15, 2008
- 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 | 106617 | MA | Primary |
Addresses
Primary practice location
25 Old Westport Rd
Dartmouth, MA 02747-2513
Mailing address
2 Eastward LN
Dartmouth, MA 02747-5201
Phone (508) 993-2090
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alameda Health System | Past | Accepting new patients |
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.
-
- General Acute Care Hospital
- Oakland, CA
- NPI 1083815872
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216080000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1248048000000",
"number": "1851555205",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 EASTWARD LN",
"city": "DARTMOUTH",
"state": "MA",
"postal_code": "027475201",
"telephone_number": "508-993-2090",
"fax_number": "508-993-2091"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 OLD WESTPORT RD",
"city": "DARTMOUTH",
"state": "MA",
"postal_code": "027472513",
"telephone_number": "508-993-2090",
"fax_number": "508-993-2091"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EISENBERG",
"first_name": "AMY",
"name_prefix": "Mrs.",
"credential": "MSW LICSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-07-15",
"last_updated": "2009-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "106617",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dartmouth, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.