BRIAN R AMIDON LCSW
NPI 1417029026
Social Worker - Clinical in Syracuse, NY

Active since November 15, 2006PECOS Enrolled
725 IRVING AVE, SYRACUSE, NY 13210(315) 464-5538(315) 464-5579 Get Directions Write a Review

NPPES record last updated: August 12, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Brian R Amidon Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRIAN R AMIDON LCSW (NPI 1417029026) is an individual clinical provider in Syracuse, New York, licensed in New York (083385) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417029026
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameBRIAN R AMIDONCredential: LCSW
Location Address725 IRVING AVESyracuse, NY 13210-1603
Mailing Address725 Irving Ave Ste 302Syracuse, NY 13210-1603 · (315) 464-5538 · Fax (315) 464-5579
Fax(315) 464-5579
Sole ProprietorNo
Enumeration DateNovember 15, 2006
Last NPPES UpdateAugust 12, 2015
NPI 1417029026 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in NY · 083385
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Also ListedSocial WorkerTaxonomy 104100000X · License 072991 (NY)
725 IRVING AVE, Syracuse, NY 13210

Other Identifiers 1

Medicaid01649605NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Brian R Amidon Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13210 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $54.87 – $166.88
Typical copayment $0.00 (range $13.71 – $41.72)
Most-billed visit code NA
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pediatrics (Pediatric Nephrology)
725 IRVING AVE, STE 805
SYRACUSE, NY 13210
Neurological Surgery
725 IRVING AVE, STE. 503
SYRACUSE, NY 13210
Obstetrics & Gynecology
725 IRVING AVE, STE 600
SYRACUSE, NY 13210
Pediatrics (Neurodevelopmental Disabilities)
725 IRVING AVE, CROUSE POB
SYRACUSE, NY 13210
Pediatrics (Pediatric Nephrology)
725 IRVING AVE
SYRACUSE, NY 13210
Thoracic Surgery (Cardiothoracic Vascular Surgery)
725 IRVING AVE, STE 514
SYRACUSE, NY 13210
Internal Medicine (Infectious Disease)
725 IRVING AVE, STE 311
SYRACUSE, NY 13210
Nurse Practitioner (Adult Health)
725 IRVING AVE, SUITE # 304
SYRACUSE, NY 13210

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brian Amidon's NPI number?

The NPI number for Brian Amidon is 1417029026. It was assigned to this individual provider in the NPPES registry on November 15, 2006.

Where is Brian Amidon located?

Brian Amidon practices at 725 Irving Ave, Syracuse, NY 13210. The listed phone number is (315) 464-5538.

What is Brian Amidon's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Brian Amidon enrolled in Medicare?

Yes. Brian Amidon is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Brian Amidon was last updated on August 12, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.