Individual provider Active NPI

Amiline Valmyr

  • Clinical Social Worker
  • Braintree, MA
National Provider Identifier
1982838090
Registry record updated Sep 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
124318 Issued in MA
Practice address
150 Grossman Dr Ste 205
Braintree, MA 02184-4947
Phone
(508) 535-5826
NPI assigned
May 5, 2009
Last updated
Sep 5, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2025

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 124318 MA Primary

Addresses

Primary practice location

150 Grossman Dr Ste 205
Braintree, MA 02184-4947

Mailing address

150 Grossman Dr Ste 205
Braintree, MA 02184-4947

Other practice location 1

2042 Wooddale Dr Ste 250
Woodbury, MN 55125-4421
Phone (508) 838-1940

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
I20250404001592 MA Practitioner - Clinical Social Worker 7012431646

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
124318MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Morsewood Behavioral Health Associates LLC Current Accepting new patients
South Shore Mental Health Center, Inc. Past Accepting new patients

Locations

2042 Wooddale Dr
Ste 250
Woodbury, MN 55125
Phone (651) 300-3328

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, 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": "1241481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757030400000",
    "number": "1982838090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 GROSSMAN DR STE 205",
            "city": "BRAINTREE",
            "state": "MA",
            "postal_code": "021844947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 GROSSMAN DR STE 205",
            "city": "BRAINTREE",
            "state": "MA",
            "postal_code": "021844947",
            "telephone_number": "508-535-5826"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2042 Wooddale Dr Ste 250",
            "address_purpose": "LOCATION",
            "city": "Woodbury",
            "state": "MN",
            "postal_code": "551254421",
            "country_code": "US",
            "telephone_number": "508-838-1940",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VALMYR",
        "first_name": "AMILINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-05",
        "last_updated": "2025-09-05",
        "certification_date": "2025-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "124318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Braintree, MA

Sources for this page

Verify at the official NPI Registry.