Individual provider Active NPI

Amy L Geffers

  • Social Worker
  • Oshkosh, WI
National Provider Identifier
1104116839
Registry record updated Feb 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
8880-120 Issued in WI
Practice address
220 Washington Ave.
Oshkosh, WI 54903
Phone
(920) 236-1267
NPI assigned
Apr 14, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 15323-132 WI
Social Worker 104100000X 8880-120 WI Primary

Addresses

Primary practice location

220 Washington Ave.
Oshkosh, WI 54903

Mailing address

P,O. Box 2187
220 Washington Ave.
Oshkosh, WI 54903
Phone (920) 236-1267

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
15323-132WIMDAddiction (Substance Use Disorder) Counselor
8880-120WIMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Winnebago County Past Accepting new patients
County of Winnebago PastSince Dec 1, 2003 Accepting new patients

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": "1302739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392336000000",
    "number": "1104116839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P,O. BOX 2187",
            "address_2": "220 WASHINGTON AVE.",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "54903",
            "telephone_number": "920-236-1267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 WASHINGTON AVE.",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "54903",
            "telephone_number": "920-236-1267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEFFERS",
        "first_name": "AMY",
        "middle_name": "L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-14",
        "last_updated": "2014-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "15323-132",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WI",
            "license": "8880-120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oshkosh, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2014; 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.