Individual provider Active NPI

Amy J Goldman Notis, MSW

  • Clinical Social Worker
  • Brookline, MA
National Provider Identifier
1902942477
Registry record updated Jan 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
105300 Issued in MA
Practice address
1330 Beacon St Ste 349
Brookline, MA 02446-3204
Phone
(617) 852-0228
NPI assigned
Jan 30, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 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 105300 MA Primary

Addresses

Primary practice location

1330 Beacon St Ste 349
Brookline, MA 02446-3204

Mailing address

15 Davis Ave
Brookline, MA 02445-7682
Phone (617) 731-1511

Other practice location 1

110 Francis St
Suite GB
Boston, MA 02215-5501
Phone (617) 632-0778

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
I20110809000891 MA Practitioner - Clinical Social Worker 7315116266 Reassigns benefits to 2 organizations
Practice locations: Brookline, MA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1330 Beacon St
Suite 349
Brookline, MA 02446-3204
Phone (617) 852-0228

15 Davis Ave
Apt 3a
Brookline, MA 02445-7654

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc CurrentSince Nov 13, 2019 Accepting new patients
Beth Israel Deaconess Medical Center, Inc. CurrentSince Apr 1, 2011 Accepting new patients
Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc CurrentSince Nov 13, 2019 Accepting new patients
Beth Israel Deaconess Medical Center, Inc. CurrentSince Apr 1, 2011 Accepting new patients

Locations

110 Francis St
Ste Gb
Boston, MA 02215
Phone (617) 632-0760

330 Brookline Ave
Boston, MA 02215
Phone (617) 667-2000

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672876800000",
    "number": "1902942477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 DAVIS AVE",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024457682",
            "telephone_number": "617-731-1511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 BEACON ST STE 349",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024463204",
            "telephone_number": "617-852-0228"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "110 Francis St",
            "address_2": "Suite GB",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "022155501",
            "country_code": "US",
            "telephone_number": "617-632-0778",
            "fax_number": "617-632-7626",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOLDMAN NOTIS",
        "first_name": "AMY",
        "middle_name": "J",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-30",
        "last_updated": "2023-01-05",
        "certification_date": "2023-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "105300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookline, MA

Sources for this page

Verify at the official NPI Registry.