Amy Katherine Weiss, MSW, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

DP00944669 Issued in WV

Practice address

1617 N Walker St
Princeton, WV 24740-2624

Phone

(681) 282-5130

Fax

(681) 282-5130

NPI assigned

Dec 4, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WV, VA2 enrollments

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 2

Specialty

Clinical Social Worker

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Best Life Mental Health Solutions LLC

  • Clinical Social Worker
  • Princeton, WV
  • NPI 1730840158
  Medicare reassignment NPD
• New River Valley Community Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Blacksburg, VA
  • NPI 1942304126
  Medicare reassignment NPD
• New River Valley Community Services

  • Family Medicine Physician
  • Blacksburg, VA
  • NPI 1922633544
  NPD

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

{
    "created_epoch": "1607040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699315200000",
    "number": "1992300057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 S SHADOWOOD LN",
            "city": "PRINCETON",
            "state": "WV",
            "postal_code": "247403839",
            "telephone_number": "304-888-7513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1617 N WALKER ST",
            "city": "PRINCETON",
            "state": "WV",
            "postal_code": "247402624",
            "telephone_number": "681-282-5130",
            "fax_number": "681-282-5130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISS",
        "first_name": "AMY",
        "middle_name": "KATHERINE",
        "credential": "MSW, LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-04",
        "last_updated": "2023-11-07",
        "certification_date": "2023-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WV",
            "license": "DP00944669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Webster
• Faith Weeks
• Ashley Weese
• Ralph McKinley Weikel Jr.
• Donna Weis
• Mark Anthony Weitzel, D.O.
• Laken J Wellman
• Theodore Paul Werblin, MD
• West Virginia CVS Pharmacy LLC
• West Virginia Drug Testing Laboratories,

• Clinical Social Worker in Princeton, WV
• Providers in Princeton, WV by specialty
• Clinical Social Worker in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2023; 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.