NPI 1154851574 · live from the CMS NPI Registry
Aimee Amodio, MSW, LICSW
Social Worker in Portland, OR. National Provider Identifier 1154851574, active.
NPI record
| NPI | 1154851574 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker 104100000X |
| Practice location | 14523 Se Gladstone St, Portland, OR 97236 |
| Practice phone | 360-836-0725 |
| Enumerated | June 18, 2017 |
| Last updated | August 5, 2022 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker primary | 104100000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.