Individual provider Active NPI

Amy Vasey, LICSW

  • Clinical Social Worker
  • Albert Lea, MN
National Provider Identifier
1912593286
Registry record updated Dec 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
26658 Issued in MN
Practice address
907 Sykes St
Albert Lea, MN 56007-3405
Phone
(507) 377-8506
NPI assigned
Dec 21, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2020

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 26658 MN Primary

Addresses

Primary practice location

907 Sykes St
Albert Lea, MN 56007-3405

Mailing address

329 Faribault Rd
Faribault, MN 55021-5780
Phone (507) 334-1030

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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
I20210120001920 MN Practitioner - Clinical Social Worker 3375957079 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cedar House IncGroup PAC ID 8729975479, 3 clinicians

Practice addresses (Care Compare)

907 Sykes St
Albert Lea, MN 56007-3405
Phone (507) 377-8506

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
26658MNMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Cedar House Inc. CurrentSince Dec 28, 2020 Accepting new patients

Locations

907 Sykes St
Albert Lea, MN 56007
Phone (507) 377-8506

1400 12th Ave NW
Austin, MN 55912
Phone (507) 437-9152

329 Faribault Rd
Faribault, MN 55021
Phone (507) 334-1030

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1608508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608508800000",
    "number": "1912593286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "329 FARIBAULT RD",
            "city": "FARIBAULT",
            "state": "MN",
            "postal_code": "550215780",
            "telephone_number": "507-334-1030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "907 SYKES ST",
            "city": "ALBERT LEA",
            "state": "MN",
            "postal_code": "560073405",
            "telephone_number": "507-377-8506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VASEY",
        "first_name": "AMY",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-21",
        "last_updated": "2020-12-21",
        "certification_date": "2020-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "26658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albert Lea, MN

Sources for this page

Verify at the official NPI Registry.