Individual provider Active NPI

Lisa C Amato, LICSW

  • Clinical Social Worker
  • Amherst, MA
National Provider Identifier
1891835617
Registry record updated May 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
117412 Issued in MA
Practice address
111 County Cir
Amherst, MA 01003-9255
Phone
(413) 545-2337
NPI assigned
Feb 8, 2007
Last updated
May 15, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2023

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 117412 MA Primary

Addresses

Primary practice location

111 County Cir
Amherst, MA 01003-9255

Mailing address

216 Potwine LN
Amherst, MA 01002-3310
Phone (413) 230-0375

Other practice location 1

216 Potwine Ln
Amherst, MA 01002-3310
Phone (413) 230-0375

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20130219000249 MA Practitioner - Clinical Social Worker 5092960211 Practice locations: Amherst, MA; Holyoke, MA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

48 N Pleasant St
Suite 207
Amherst, MA 01002-1741
Phone (413) 230-0375

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Resilience, PC CurrentSince Jan 1, 2021 Accepting new patients
Amherst Psychotherapy Practice PC Clinical PastSince Oct 6, 2019 Accepting new patients
River Valley Counseling Center, Inc Clinical PastSince Jul 19, 1994 Accepting new patients

Locations

208 Race St
Holyoke, MA 01040

208 Race St
Ste 302
Holyoke, MA 01040
Phone (413) 230-0375

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684108800000",
    "number": "1891835617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 POTWINE LN",
            "city": "AMHERST",
            "state": "MA",
            "postal_code": "010023310",
            "telephone_number": "413-230-0375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 COUNTY CIR",
            "city": "AMHERST",
            "state": "MA",
            "postal_code": "010039255",
            "telephone_number": "413-545-2337"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "216 Potwine Ln",
            "address_purpose": "LOCATION",
            "city": "Amherst",
            "state": "MA",
            "postal_code": "010023310",
            "country_code": "US",
            "telephone_number": "413-230-0375",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AMATO",
        "first_name": "LISA",
        "middle_name": "C",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-08",
        "last_updated": "2023-05-15",
        "certification_date": "2023-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "117412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amherst, MA

Sources for this page

Verify at the official NPI Registry.