Individual provider Active NPI

Michelle Amicone

  • Social Worker
  • Delaware, OH
National Provider Identifier
1942741780
Registry record updated Mar 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
S1201123 Issued in OH
Practice address
88 N Sandusky St
Delaware, OH 43015-1756
Phone
(740) 203-3800
NPI assigned
Mar 13, 2017
Last updated
Mar 31, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X S1201123 OH Primary

Addresses

Primary practice location

88 N Sandusky St
Delaware, OH 43015-1756

Mailing address

1791 Alum Creek Dr
Columbus, OH 43207-1757
Phone (614) 445-8131

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
S1201123OHMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Maryhaven Inc. CurrentSince Apr 5, 2020 Accepting new patients
Cornell Abraxas Group, LLC PastSince Jun 21, 2022 Accepting new patients
Cornell Abraxas Group, LLC Past Accepting new patients
Maryhaven Inc PastSince Apr 5, 2020 Accepting new patients

Locations

1791 Alum Creek Dr
Columbus, OH 43207

88 N Sandusky St
Delaware, OH 43015
Phone (740) 203-3800

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1489363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585612800000",
    "number": "1942741780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1791 ALUM CREEK DR",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432071757",
            "telephone_number": "614-445-8131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 N SANDUSKY ST",
            "city": "DELAWARE",
            "state": "OH",
            "postal_code": "430151756",
            "telephone_number": "740-203-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMICONE",
        "first_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-13",
        "last_updated": "2020-03-31",
        "certification_date": "2020-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S1201123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delaware, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2020; 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.