Individual provider Active NPI

Amy C Esker, LCSW

  • Social Worker
  • Schofield, WI
National Provider Identifier
1023217411
Registry record updated Jun 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
8060 Issued in WI
Practice address
10506 Heeren St
Schofield, WI 54476-5862
Phone
(920) 205-8859
NPI assigned
Jul 16, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 3930 OK
Clinical Social Worker 1041C0700X 20648 MN
Clinical Social Worker 1041C0700X 8060 WI
Social Worker 104100000X 8060 WI Primary

Addresses

Primary practice location

10506 Heeren St
Schofield, WI 54476-5862

Mailing address

10506 Heeren St
Schofield, WI 54476-5862
Phone (920) 205-8859

Other identifiers 1

IdentifierTypeStateIssuer
1023217411MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
20648MNMDClinical Social Worker
3930OKMDClinical Social Worker
8060WIMDPhysician Assistant

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1184544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655078400000",
    "number": "1023217411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10506 HEEREN ST",
            "city": "SCHOFIELD",
            "state": "WI",
            "postal_code": "544765862",
            "telephone_number": "920-205-8859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10506 HEEREN ST",
            "city": "SCHOFIELD",
            "state": "WI",
            "postal_code": "544765862",
            "telephone_number": "920-205-8859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESKER",
        "first_name": "AMY",
        "middle_name": "C",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-16",
        "last_updated": "2022-06-13",
        "certification_date": "2022-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OK",
            "license": "3930",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "20648",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "8060",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WI",
            "license": "8060",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1023217411",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Schofield, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.