Individual provider Active NPI

Amy K Hull, L.I.S.W.

  • Clinical Social Worker
  • Denison, IA
National Provider Identifier
1043436264
Registry record updated Aug 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
06075 Issued in IA
Practice address
20 N 14TH St
Denison, IA 51442-2026
Phone
(712) 263-3172
Fax
(712) 263-5756
NPI assigned
Apr 17, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 06075 IA Primary

Addresses

Primary practice location

20 N 14TH St
Denison, IA 51442-2026

Mailing address

20 N 14TH St
Denison, IA 51442-2026
Phone (712) 263-3172

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20050607000580 IA Practitioner - Clinical Social Worker 5092758409 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lutheran Family ServiceGroup PAC ID 5193718237, 9 clinicians

Practice addresses (Care Compare)

1204 Ctr St
Manning, IA 51455-1531
Phone (515) 573-3138

1844 Highland Dr
Carroll, IA 51401-3573
Phone (515) 251-4900

2323 Willis Ave
Perry, IA 50220-2148
Phone (515) 251-4900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lutheran Family Service CurrentSince Jul 3, 2020 Accepting new patients
West Iowa Community Mental Health Center Past Accepting new patients

Locations

409 Kenyon Rd
Ste C
Fort Dodge, IA 50501
Phone (515) 573-3138

1204 Center St
Manning, IA 51455
Phone (515) 573-3138

2323 Willis Ave
Perry, IA 50220
Phone (515) 251-4900

Organizations & group practices 2

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": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375833600000",
    "number": "1043436264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 N 14TH ST",
            "city": "DENISON",
            "state": "IA",
            "postal_code": "514422026",
            "telephone_number": "712-263-3172",
            "fax_number": "712-263-5756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 N 14TH ST",
            "city": "DENISON",
            "state": "IA",
            "postal_code": "514422026",
            "telephone_number": "712-263-3172",
            "fax_number": "712-263-5756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HULL",
        "first_name": "AMY",
        "middle_name": "K",
        "credential": "L.I.S.W.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-17",
        "last_updated": "2013-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "06075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denison, IA

Sources for this page

Verify at the official NPI Registry.