Individual provider Active NPI

Amity Scoville

  • Clinical Social Worker
  • Anchorage, AK
National Provider Identifier
1003534009
Registry record updated Sep 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
241015 Issued in AK
Practice address
401 W International Airport Rd Ste 17
Anchorage, AK 99518-1168
Phone
(907) 770-3656
NPI assigned
Aug 16, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Clinical Social Worker 1041C0700X 241015 AK Primary

Addresses

Primary practice location

401 W International Airport Rd Ste 17
Anchorage, AK 99518-1168

Mailing address

401 W International Airport Rd Ste 17
Anchorage, AK 99518-1168
Phone (907) 770-3656

Other names 1

  • Amity S Scoville Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK
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
I20251013001279 AK Practitioner - Clinical Social Worker 4486141678 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2003
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Wisdom Traditions Counseling Services LLCGroup PAC ID 2567794217, 7 clinicians

Practice addresses (Care Compare)

401 W International Airport Rd
Suite 17
Anchorage, AK 99518-1168
Phone (907) 770-3656

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Wisdom Traditions Counseling Services, LLC Counselor CurrentSince Sep 25, 2025 Accepting new patients
Wisdom Traditions Counseling Services, LLC Current Accepting new patients
Wisdom Traditions Counseling Services, LLC CurrentSince Sep 25, 2025 Accepting new patients

Locations

401 W International Rd
Ste 17
Anchorage, AK 99518
Phone (907) 770-3656

Organizations & group practices 3

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": "1660608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758585600000",
    "number": "1003534009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 W INTERNATIONAL AIRPORT RD STE 17",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995181168",
            "telephone_number": "907-770-3656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 W INTERNATIONAL AIRPORT RD STE 17",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995181168",
            "telephone_number": "907-770-3656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOVILLE",
        "first_name": "AMITY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-16",
        "last_updated": "2025-09-23",
        "certification_date": "2025-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AK",
            "license": "241015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMITY",
            "last_name": "SCOVILLE",
            "middle_name": "S",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Anchorage, AK

Sources for this page

Verify at the official NPI Registry.