Individual provider Active NPI

Amy Louise Sulkala, LICSW

  • Clinical Social Worker
  • Norwood, MA
National Provider Identifier
1962762625
Registry record updated Nov 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
110749 Issued in MA
Practice address
275 Prospect St
The Phoenix School
Norwood, MA 02062-1467
Phone
(781) 551-0399
NPI assigned
May 29, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 110749 MA Primary
School Social Worker 1041S0200X 405572 MA

Addresses

Primary practice location

275 Prospect St
The Phoenix School
Norwood, MA 02062-1467

Mailing address

45 Shawmut Ave
Mansfield, MA 02048-2243
Phone (508) 641-2157

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
I20051029000126 MA Practitioner - Clinical Social Worker 3577580414 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sturdy Memorial Hospital IncGroup PAC ID 4981653789, 39 clinicians

Practice addresses (Care Compare)

211 Park St
Attleboro, MA 02703-3143
Phone (508) 236-8110

Merit-based Incentive Payment System (MIPS)

Final score
87.49 of 100Reported as group
Quality
69.5
Promoting interoperability
100
Improvement activities
40
Cost
72.15

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
110749MAMDClinical Social Worker
405572MAMDSchool Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Sturdy Memorial Hospital Inc CurrentSince Jun 8, 2012 Accepting new patients
Sturdy Health, Inc. Past Accepting new patients

Locations

211 Park St
South Attleboro, MA 02703
Phone (508) 222-5200

Organizations & group practices 2

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": "1338249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478131200000",
    "number": "1962762625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 SHAWMUT AVE",
            "city": "MANSFIELD",
            "state": "MA",
            "postal_code": "020482243",
            "telephone_number": "508-641-2157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 PROSPECT ST",
            "address_2": "THE PHOENIX SCHOOL",
            "city": "NORWOOD",
            "state": "MA",
            "postal_code": "020621467",
            "telephone_number": "781-551-0399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULKALA",
        "first_name": "AMY",
        "middle_name": "LOUISE",
        "name_prefix": "Mrs.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-29",
        "last_updated": "2016-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "110749",
            "primary": true
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "MA",
            "license": "405572",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwood, MA

Sources for this page

Verify at the official NPI Registry.