Amy Jane Matteson Zicafoose, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801115641 Issued in MI

Practice address

1100 Hatch Rd
Jackson, MI 49201-9712

Phone

(517) 914-8619

NPI assigned

Nov 23, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

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

Specialty

Clinical Social Worker

Education

Other, 2020

Medicare assignment

May accept Medicare assignment

Group practices

Catholic Charities of Jackson Lenawee and Hillsdale CountiesGroup PAC ID 5597781385, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Catholic Charities of Jackson, Lenawee and Hillsdale Counties

  • Community/Behavioral Health Agency
  • Jackson, MI
  • NPI 1689628190
  Medicare reassignment Care Compare group NPD
• Taproot Mental Health Services LLC

  • Adult Mental Health Clinic/Center
  • Jackson, MI
  • NPI 1073312666
  Medicare reassignment NPD Authorized official
• DBT Institute of Mi

  • Psychiatric Residential Treatment Facility
  • Mason, MI
  • NPI 1982063889

  Mental Health

  NPD (past)
• DBT Institute of Mi

  • Community/Behavioral Health Agency
  • Mason, MI
  • NPI 1992552905
  NPD (past)

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

{
    "created_epoch": "1606089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745193600000",
    "number": "1114521853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 HATCH RD",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492019712",
            "telephone_number": "517-914-8619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 HATCH RD",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492019712",
            "telephone_number": "517-914-8619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZICAFOOSE",
        "first_name": "AMY",
        "middle_name": "JANE MATTESON",
        "name_prefix": "Ms.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-23",
        "last_updated": "2025-04-21",
        "certification_date": "2025-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801115641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hazem Zebda, MD
• Abigail Diane Zech
• Nikhath Zeeshan, MD
• Brian C Zentera
• Alan Thomas Zenz, LLMSW
• Tara Ziecina, FNP-C
• Marcin J Zielinski
• Karen Zimmerman, LPN
• Elaine F. Zinger, CRNA
• Nadine Lyn Zinn, NP

• Clinical Social Worker in Jackson, MI
• Providers in Jackson, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2025; 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.

Verify at the official NPI Registry.