Individual provider Active NPI

Amie Nicole Towne, LMSW

  • Clinical Social Worker
  • Appleton, WI
National Provider Identifier
1093749327
Registry record updated Jun 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
8870-123 Issued in WI
Practice address
330 W College Ave Ste 303
Appleton, WI 54911-5871
Phone
(617) 379-0496
NPI assigned
Jul 11, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 6, 2023

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 8870-123 WI Primary

Addresses

Primary practice location

330 W College Ave Ste 303
Appleton, WI 54911-5871

Mailing address

N2171 Cty Rd K
Waupaca, WI 54981-8351
Phone (707) 330-4828

Other practice location 1

N2171 Cty Rd K
Waupaca, WI 54981-8351
Phone (617) 379-0496 ext. 99641

Other identifiers 2

IdentifierTypeStateIssuer
AT084174OtherMIBCBS OF MI
345735OtherMIMHN

Other names 1

  • Amie Nicole Butler Former name

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
8870-123WIMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686009600000",
    "number": "1093749327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N2171 CTY RD K",
            "city": "WAUPACA",
            "state": "WI",
            "postal_code": "549818351",
            "telephone_number": "707-330-4828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 W COLLEGE AVE STE 303",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549115871",
            "telephone_number": "617-379-0496"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "N2171 Cty Rd K",
            "address_purpose": "LOCATION",
            "city": "Waupaca",
            "state": "WI",
            "postal_code": "549818351",
            "country_code": "US",
            "telephone_number": "617-379-0496 x99641",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TOWNE",
        "first_name": "AMIE",
        "middle_name": "NICOLE",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-11",
        "last_updated": "2023-06-06",
        "certification_date": "2023-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "8870-123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MI",
            "identifier": "AT084174",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHN",
            "identifier": "345735",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMIE",
            "last_name": "BUTLER",
            "middle_name": "NICOLE",
            "credential": "LMSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Appleton, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 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.