Tyler-Ann Amamgbo, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

099476 Issued in NY

Practice address

31 Sherbrooke Rd
Ewing, NJ 08638-2416

Phone

(786) 376-3666

NPI assigned

Feb 10, 2025

Last updated

Feb 11, 2025By the provider in NPPES

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 NY

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

Medicare enrollment (NPD)

Enrolled

State licenses

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359

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

{
    "created_epoch": "1739145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739232000000",
    "number": "1992510606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 SHERBROOKE RD",
            "city": "EWING",
            "state": "NJ",
            "postal_code": "086382416",
            "telephone_number": "786-376-3666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 SHERBROOKE RD",
            "city": "EWING",
            "state": "NJ",
            "postal_code": "086382416",
            "telephone_number": "786-376-3666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMAMGBO",
        "first_name": "TYLER-ANN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-02-10",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "099476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachene Alexander, RN
• Jodie J Allegar, LMT
• Allies, Inc.
• Allies, Inc.
• Allies, Inc.
• Puja Amin
• Another Door Opens Recovery Center
• Another Door Opens Recovery Center
• Another Door Opens Recovery LLC
• Hardi Antala, PHARMD

• Clinical Social Worker in Ewing, NJ
• Providers in Ewing, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.