Amy Names Wilson, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801089685 Issued in MI

Practice address

3018 Oakland Dr Ste D
Kalamazoo, MI 49008-3998

Phone

(269) 216-9289

Fax

(269) 775-1266

NPI assigned

Oct 1, 2008

Sex

Female

Sole proprietor

No

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, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Kalamazoo Mental Wellness LLC

  • Clinical Social Worker
  • Kalamazoo, MI
  • NPI 1720896467
  Medicare reassignment NPD Authorized official
• Summit Pointe

  • Psychiatry Physician
  • Battle Creek, MI
  • NPI 1700833555

  Clinical

  Medicare reassignment NPD

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

{
    "created_epoch": "1222819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735257600000",
    "number": "1124279765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3018 OAKLAND DR STE D",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490083998",
            "telephone_number": "269-216-9289",
            "fax_number": "269-256-5588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3018 OAKLAND DR STE D",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490083998",
            "telephone_number": "269-216-9289",
            "fax_number": "269-775-1266"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1803 Whites Rd Ste 4",
            "address_purpose": "LOCATION",
            "city": "Kalamazoo",
            "state": "MI",
            "postal_code": "490082883",
            "country_code": "US",
            "telephone_number": "269-216-9289",
            "fax_number": "269-775-1266",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSON",
        "first_name": "AMY",
        "middle_name": "NAMES",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-01",
        "last_updated": "2024-12-27",
        "certification_date": "2024-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801089685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian Willshire
• Genevieve Marie Willson, MA, LPC, ATR-BC, NCC
• Jeffery K Willson, A.T.C.
• James Wilmes
• Madalynn Wilnau
• Anayia Wilson
• Avery Jo Wilson
• Demond Wilson
• Emily J Wilson, PT
• James Wilson, CRNA

• Clinical Social Worker in Kalamazoo, MI
• Providers in Kalamazoo, 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 Dec 27, 2024; 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.