Organization Active NPI

Amy K. Wood

  • Clinical Social Worker
  • Saint Marys, GA
National Provider Identifier
1053183079
Registry record updated Nov 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
AMY K. WOOD
Practice address
724 Charlie Smith Sr Hwy
Saint Marys, GA 31558-9505
Phone
(802) 347-3268
NPI assigned
Oct 24, 2023
Last updated
Nov 2, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2023

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

Authorized official

Name
Mrs. Amy Kathryn Wood, LCSWNPI 1356840367
Title
Owner
Phone
(802) 272-9871

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

724 Charlie Smith Sr Hwy
Saint Marys, GA 31558-9505

Mailing address

PO Box 5653
Saint Marys, GA 31558-5653
Phone (802) 272-9871

National Provider Directory

National Provider Directory

Locations

724 Charlie Smith SR Hwy
Saint Marys, GA 31558
Phone (802) 347-3268

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1698105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698883200000",
    "number": "1053183079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5653",
            "city": "SAINT MARYS",
            "state": "GA",
            "postal_code": "315585653",
            "telephone_number": "802-272-9871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "724 CHARLIE SMITH SR HWY",
            "city": "SAINT MARYS",
            "state": "GA",
            "postal_code": "315589505",
            "telephone_number": "802-347-3268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMY K. WOOD",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-24",
        "last_updated": "2023-11-02",
        "certification_date": "2023-11-02",
        "status": "A",
        "authorized_official_last_name": "WOOD",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "KATHRYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "802-272-9871",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Marys, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2023; 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.