Individual provider Active NPI

Amirah Ambekisyecotton, PLMHP, PMSW

  • Clinical Social Worker
  • Omaha, NE
National Provider Identifier
1902553480
Registry record updated Mar 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
12920 Issued in NE
Practice address
6311 Ames Ave Ste 1048
Omaha, NE 68104-2027
Phone
(704) 578-4352
NPI assigned
Mar 4, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2022

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 12920 NE Primary

Addresses

Primary practice location

6311 Ames Ave Ste 1048
Omaha, NE 68104-2027

Mailing address

6311 Ames Ave Ste 1048
Omaha, NE 68104-2027
Phone (704) 578-4352

Other names 1

  • Amirah Cotton Professional name

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL www.prosightful.org

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

LicenseStateTypeSpecialty
12920NEMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1646352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646352000000",
    "number": "1902553480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6311 AMES AVE STE 1048",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681042027",
            "telephone_number": "704-578-4352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6311 AMES AVE STE 1048",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681042027",
            "telephone_number": "704-578-4352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMBEKISYECOTTON",
        "first_name": "AMIRAH",
        "credential": "PLMHP, PMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-04",
        "last_updated": "2022-03-04",
        "certification_date": "2022-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NE",
            "license": "12920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.prosightful.org",
            "affiliation": "N",
            "address_1": "6311 Ames Ave Ste 1048",
            "city": "Omaha",
            "state": "NE",
            "country_code": "US",
            "postal_code": "681042027",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "AMIRAH",
            "last_name": "COTTON",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.