Amy Sue Simon O'Brien, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

104808 Issued in TX

Practice address

20906 S Amber Willow TRL
Cypress, TX 77433-5999

Phone

(770) 807-9156

NPI assigned

Oct 22, 2024

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Amy Sue Smith Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Specialty

Clinical Social Worker

Education

Other, 2019

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1729555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729555200000",
    "number": "1912728908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20906 S AMBER WILLOW TRL",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774335999",
            "telephone_number": "770-807-9156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20906 S AMBER WILLOW TRL",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774335999",
            "telephone_number": "770-807-9156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMON O'BRIEN",
        "first_name": "AMY",
        "middle_name": "SUE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-22",
        "last_updated": "2024-10-22",
        "certification_date": "2024-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "104808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "SMITH",
            "middle_name": "SUE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Manuel Alfredo Silvio, SA-C
• Trevor Simcox, MD
• Diedra Simmons
• Sarah Vanarsdale Simmons, MD
• Patience Simms
• Ronald D. Simon Jr.
• Tiffany Nicole Simon, LPC
• Deshambra L Sims, MOT/OTR
• Harjot Singh, M.D.
• Navpreet Singh

• Clinical Social Worker in Cypress, TX
• Providers in Cypress, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.