AMY LODER LCSW
NPI 1497292171
Social Worker - Clinical in Toms River, NJ
About Amy Loder Lcsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AMY LODER LCSW (NPI 1497292171) is an individual clinical provider in Toms River, New Jersey, licensed in New Jersey (44SC06057300) and active in the NPI registry since January 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2015).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Amy Loder Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Amy Loder reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Lynchburg, VA 24504
- Reassigned Medicare billing, New Jersey enrollment
- 138 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 08753 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Amy Loder's NPI number?
The NPI number for Amy Loder is 1497292171. It was assigned to this individual provider in the NPPES registry on January 19, 2017.
Where is Amy Loder located?
Amy Loder practices at 10 Allen St Ste 4-B, Toms River, NJ 08753. The listed phone number is (732) 795-5217.
What is Amy Loder's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Amy Loder enrolled in Medicare?
Yes. Amy Loder is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Amy Loder's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Amy Loder reassigns Medicare benefits to Thrive Counseling LLC (Lynchburg, VA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Amy Loder's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Amy Loder accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 2 other insurers list Amy Loder as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Amy Loder was last updated on November 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Amy Loder, LCSW · NPI 1497292171
Clinical provider in Toms River, New Jersey. Individual provider, active in the CMS NPPES registry since January 19, 2017.
## Identity
- **NPI:** 1497292171 (Entity type: Individual)
- **Enumerated:** January 19, 2017
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** 44SC06057300 (New Jersey)
- **Sole proprietor:** No
## Practice location
- **Address:** 10 ALLEN ST STE 4-B, Toms River, NJ 08753-7652
- **Phone:** (732) 795-5217
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Thrive Counseling LLC (NPI 1215181300, Lynchburg, VA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** November 19, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1497292171) · Data from the CMS NPPES public registry.