Active NPI
Amy Beth Spitzer, MSW
- Clinical Social Worker
- W Henrietta, NY
National Provider Identifier
1902193667
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 040181
- Practice address
- 150 Telephone Rd
W Henrietta, NY 14586-9525 - Phone
- (585) 359-5537
- NPI assigned
- Jul 1, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 040181 | NY | Primary |
Addresses
Primary practice location
150 Telephone Rd
W Henrietta, NY 14586-9525
Mailing address
150 Telephone Road
W. Henrietta, NY 14586
Phone (585) 359-5537
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 166002034 | Medicaid | NY |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 040181 | NY | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309478400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1309478400000",
"number": "1902193667",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150 TELEPHONE ROAD",
"city": "W. HENRIETTA",
"state": "NY",
"postal_code": "14586",
"telephone_number": "585-359-5537"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 TELEPHONE RD",
"city": "W HENRIETTA",
"state": "NY",
"postal_code": "145869525",
"telephone_number": "585-359-5537"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPITZER",
"first_name": "AMY",
"middle_name": "BETH",
"name_prefix": "Ms.",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-07-01",
"last_updated": "2011-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "040181",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "166002034",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in W Henrietta, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.