Individual provider Active NPI

Amy Sue Doliver, LMSW

  • Clinical Social Worker
  • Norwich, NY
National Provider Identifier
1992965883
Registry record updated Nov 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
076435 Issued in NY
Practice address
5 Court St
Suite 42, County Office Building
Norwich, NY 13815-1695
Phone
(607) 337-1602
Fax
(607) 334-4519
NPI assigned
Jun 13, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2009

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 076435 NY Primary

Addresses

Primary practice location

5 Court St
Suite 42, County Office Building
Norwich, NY 13815-1695

Mailing address

4813 State Highway 23
Norwich, NY 13815-3188
Phone (607) 336-7918

Other names 1

  • Amy Sue Doliver Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20121010000417 NY Practitioner - Clinical Social Worker 3274782099 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rockland Psychological Services PLLCGroup PAC ID 0547709578, 4 clinicians

Practice addresses (Care Compare)

978 Route 45
Suite 104
Pomona, NY 10970-3565
Phone (845) 738-8770

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
076435NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Rockland Psychological Services PLLC CurrentSince Nov 3, 2025 Accepting new patients

Locations

978 Route 45
Ste 104
Pomona, NY 10970
Phone (347) 897-5150

Organizations & group practices 1

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": "1213315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257120000000",
    "number": "1992965883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4813 STATE HIGHWAY 23",
            "city": "NORWICH",
            "state": "NY",
            "postal_code": "138153188",
            "telephone_number": "607-336-7918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 COURT ST",
            "address_2": "SUITE 42, COUNTY OFFICE BUILDING",
            "city": "NORWICH",
            "state": "NY",
            "postal_code": "138151695",
            "telephone_number": "607-337-1602",
            "fax_number": "607-334-4519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOLIVER",
        "first_name": "AMY",
        "middle_name": "SUE",
        "name_prefix": "Ms.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-13",
        "last_updated": "2009-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "076435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "DOLIVER",
            "middle_name": "SUE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Norwich, NY

Sources for this page

Verify at the official NPI Registry.