Individual provider Active NPI

Amy Kathryn Barnes, LCSW

  • Clinical Social Worker
  • Sterling Heights, MI
National Provider Identifier
1134554819
Registry record updated Nov 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801091947 Issued in MI
Practice address
5995 Nineteen Mile Rd
Sterling Heights, MI 48314
Phone
(586) 254-5454
NPI assigned
Sep 12, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 7, 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 6801091947 MI Primary

Addresses

Primary practice location

5995 Nineteen Mile Rd
Sterling Heights, MI 48314

Mailing address

504 N Custer Ave
Clawson, MI 48017-1568
Phone (517) 526-0478

Other practice location 1

5331 Plymouth Rd
Ann Arbor, MI 48105-9520
Phone (734) 412-7300

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20180514000661 MI Practitioner - Clinical Social Worker 9436413762 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
RMJ1 CurrentSince Jun 24, 2023 Accepting new patients
Mila Velinova PSYD PLLC Past Accepting new patients

Locations

5331 Plymouth Rd
Ann Arbor, MI 48105
Phone (734) 412-7300

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1378944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699315200000",
    "number": "1134554819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 N CUSTER AVE",
            "city": "CLAWSON",
            "state": "MI",
            "postal_code": "480171568",
            "telephone_number": "517-526-0478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5995 NINETEEN MILE RD",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "48314",
            "telephone_number": "586-254-5454"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5331 Plymouth Rd",
            "address_purpose": "LOCATION",
            "city": "Ann Arbor",
            "state": "MI",
            "postal_code": "481059520",
            "country_code": "US",
            "telephone_number": "734-412-7300",
            "fax_number": "734-412-7500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARNES",
        "first_name": "AMY",
        "middle_name": "KATHRYN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-12",
        "last_updated": "2023-11-07",
        "certification_date": "2023-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801091947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling Heights, MI

Sources for this page

Verify at the official NPI Registry.