Active NPI
Jennifer Ami
- Clinical Social Worker
- Scottsdale, AZ
National Provider Identifier
1871972273
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 20012
- Practice address
- 14145 N 92ND St Unit 1162
Scottsdale, AZ 85260-7716 - Phone
- (847) 975-2680
- NPI assigned
- May 19, 2015
- Last updated
- Aug 29, 2022
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 11532 | LA | |
| Clinical Social Worker | 1041C0700X | NU | ||
| Clinical Social Worker | 1041C0700X | 11532 | LA | |
| Clinical Social Worker | 1041C0700X | 20012 | AZ | Primary |
Addresses
Primary practice location
14145 N 92ND St Unit 1162
Scottsdale, AZ 85260-7716
Mailing address
15029 N Thompson Peak Pkwy # B-111515
Scottsdale, AZ 85260-2217
Phone (623) 777-9518
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 23, 2024 through Jan 23, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20012 | AZ | MD | Clinical Social Worker |
| 11532 | LA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jennifer Ami, MSW, LCSW PLLC | Clinical | Current | Accepting new patients |
Locations
15029 N Thompson Peak Pkwy
#B111515
Scottsdale, AZ 85260
Phone (623) 777-9543
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinical Social Worker
- Scottsdale, AZ
- NPI 1326985243
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1431993600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661731200000",
"number": "1871972273",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15029 N THOMPSON PEAK PKWY # B-111515",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852602217",
"telephone_number": "623-777-9518"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14145 N 92ND ST UNIT 1162",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852607716",
"telephone_number": "847-975-2680"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AMI",
"first_name": "JENNIFER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-05-19",
"last_updated": "2022-08-29",
"certification_date": "2022-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "LA",
"license": "11532",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "LA",
"license": "11532",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "AZ",
"license": "20012",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Scottsdale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.