Active NPI
Amy Fossett Syen, LCSW
- Clinical Social Worker
- Olympia, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SWI.LW.70047024
- Practice address
- 500 Columbia St NW Ste 102
Olympia, WA 98501-4447 - Phone
- (859) 421-1164
- NPI assigned
- Feb 13, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | CSW005357 | GA | |
| Clinical Social Worker | 1041C0700X | SWI.LW.70047024 | WA | Primary |
Addresses
Primary practice location
500 Columbia St NW Ste 102
Olympia, WA 98501-4447
Mailing address
500 Columbia St NW Ste 102
Olympia, WA 98501-4447
Phone (859) 421-1164
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
160 Clairemont Ave
Suite 400
Decatur, GA 30030-2546
Phone (404) 500-4266
250 Corporate Ctr CT
Stockbridge, GA 30281-6388
Phone (770) 954-8685
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CSW005357 | GA | MD | Clinical Social Worker |
| SWI.LW.70047024 | WA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Personal Recovery Network LLC | Current | Accepting new patients | |
| Ascensa Health, Inc. | Past | Accepting new patients |
Locations
3300 Old Milton Pkwy
Ste 175
Alpharetta, GA 30005
Phone (470) 568-2010
160 Clairemont Ave
Ste 445
Decatur, GA 30030
Phone 4045004266 ext. 121
160 Clairemont Ave
Ste 400
Decatur, GA 30030
Phone (404) 500-4266
250 Corporate Center Ct
Stockbridge, GA 30281
Phone (770) 954-8685
Interoperability endpoints
- https://api.qualifacts.org/api/fhir/stjudesrecovery/r4/
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.
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- Atlanta, GA
- NPI 1902949712
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1486944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781740800000",
"number": "1043759889",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 COLUMBIA ST NW STE 102",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985014447",
"telephone_number": "859-421-1164"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 COLUMBIA ST NW STE 102",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985014447",
"telephone_number": "859-421-1164"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SYEN",
"first_name": "AMY",
"middle_name": "FOSSETT",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-02-13",
"last_updated": "2026-06-18",
"certification_date": "2026-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "GA",
"license": "CSW005357",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WA",
"license": "SWI.LW.70047024",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Olympia, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.