Individual provider Active NPI

Amy Jane Loeb

  • Clinical Social Worker
  • Traverse City, MI
National Provider Identifier
1134809296
Registry record updated Feb 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801118073 Issued in MI
Practice address
812 S Garfield Ave Ste G
Traverse City, MI 49686-3456
Phone
(231) 333-4538
NPI assigned
Jul 24, 2023
Last updated
Feb 14, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 14, 2025

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 6801118073 MI Primary

Addresses

Primary practice location

812 S Garfield Ave Ste G
Traverse City, MI 49686-3456

Mailing address

812 S Garfield Ave Ste G
Traverse City, MI 49686-3456
Phone (231) 333-4538

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
I20260121002148 MI Practitioner - Clinical Social Worker 7810474889 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

238 Brittany Blvd
Onsted, MI 49265-9644

812 S Garfield Ave
Suite B
Traverse City, MI 49686-3456

959 S Forestlane Dr
Traverse City, MI 49686-4345

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801118073MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Amy Jane Loeb Counseling Services LLC Clinical CurrentSince Jan 1, 2026 Accepting new patients

Locations

812 S Garfield Ave
Ste B
Traverse City, MI 49686
Phone (231) 333-4538

812 S Garfield Ave
Ste G
Traverse City, MI 49686
Phone (231) 333-4538

Organizations & group practices 1

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": "1690156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739491200000",
    "number": "1134809296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "812 S GARFIELD AVE STE G",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496863456",
            "telephone_number": "231-333-4538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "812 S GARFIELD AVE STE G",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496863456",
            "telephone_number": "231-333-4538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOEB",
        "first_name": "AMY",
        "middle_name": "JANE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-24",
        "last_updated": "2025-02-14",
        "certification_date": "2025-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801118073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Traverse City, MI

Sources for this page

Verify at the official NPI Registry.