Active NPI
Amy Milin, LCSW
- Clinical Social Worker
- Boca Raton, FL
National Provider Identifier
1982282844
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW13897
- Practice address
- 399 NW 2ND Ave Ste 214
Boca Raton, FL 33432-3848 - Phone
- (561) 843-2548
- NPI assigned
- Mar 31, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | SW13897 | FL | Primary |
Addresses
Primary practice location
399 NW 2ND Ave Ste 214
Boca Raton, FL 33432-3848
Mailing address
399 NW 2ND Ave Ste 214
Boca Raton, FL 33432-3848
Phone (561) 843-2548
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | amilin@waysidehouse.net | Direct |
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
| License | State | Type | Specialty |
|---|---|---|---|
| SW13897 | FL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Courage to Change Counseling PLLC | Clinical | Current | Accepting new patients |
| Wayside House, Inc. | Past | Accepting new patients | |
| Wayside House, Inc. | Past | Accepting new patients |
Locations
399 NW 2nd Ave
Ste 214
Boca Raton, FL 33432
Phone (561) 221-0450
Organizations & group practices 3
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.
-
- Community/Behavioral Health Agency
- Delray Beach, FL
- NPI 1639635980
-
- Substance Abuse Rehabilitation Facility
- Delray Beach, FL
- NPI 1780830224
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617148800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631491200000",
"number": "1982282844",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "399 NW 2ND AVE STE 214",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334323848",
"telephone_number": "561-843-2548"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "399 NW 2ND AVE STE 214",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334323848",
"telephone_number": "561-843-2548"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILIN",
"first_name": "AMY",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-03-31",
"last_updated": "2021-09-13",
"certification_date": "2021-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW13897",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "amilin@waysidehouse.net",
"affiliation": "N",
"endpointDescription": "Work encrypted email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "378 NE 6th Ave",
"city": "Delray Beach",
"state": "FL",
"country_code": "US",
"postal_code": "334835517",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Boca Raton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.