Active NPI
Amy L. Billa, MA, LSW
- Clinical Social Worker
- Wooster, OH
National Provider Identifier
1861732059
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- S 1200452
- Practice address
- 2285 Benden Dr
Wooster, OH 44691-2568 - Phone
- (330) 264-9209
- NPI assigned
- Feb 25, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Counselor | 101YS0200X | OH 3112354 | OH | |
| Clinical Social Worker | 1041C0700X | S 1200452 | OH | Primary |
Addresses
Primary practice location
2285 Benden Dr
Wooster, OH 44691-2568
Mailing address
PO Box 2212
Mansfield, OH 44905-0212
Phone (419) 756-1133
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OH 3112354 | OH | MD | School Counselor |
| S 1200452 | OH | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1361750400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1537488000000",
"number": "1861732059",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2212",
"city": "MANSFIELD",
"state": "OH",
"postal_code": "449050212",
"telephone_number": "419-756-1133"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2285 BENDEN DR",
"city": "WOOSTER",
"state": "OH",
"postal_code": "446912568",
"telephone_number": "330-264-9209"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BILLA",
"first_name": "AMY",
"middle_name": "L.",
"name_prefix": "Mrs.",
"credential": "MA, LSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-02-25",
"last_updated": "2018-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YS0200X",
"taxonomy_group": "",
"desc": "Counselor, School",
"state": "OH",
"license": "OH 3112354",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OH",
"license": "S 1200452",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wooster, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.