Active NPI
Amy Kemp Wellmeier, LCSW-C
- Clinical Social Worker
- Montgomery, AL
National Provider Identifier
1144318932
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CSW004187
- Practice address
- 300 Twining St
Montgomery, AL 36112-6027 - Phone
- (334) 953-5430
- NPI assigned
- Oct 10, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | CSW004187 | GA | Primary |
Addresses
Primary practice location
300 Twining St
Montgomery, AL 36112-6027
Mailing address
42 MDG 300 S. Twinings St
Maxwell Afb
Montgomery, AL 36112
Other practice location 1
8415 Bellona Ln
Suite 201
Towson, MD 21204-2055
Phone (410) 821-7775 ext. 123
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CSW004187 | Other | GA | STATE LICENSE |
| 12283 | Other | MD | STATE LICENCE |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CSW004187 | GA | MD | Clinical Social Worker |
| 12283 | MD | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1525737600000",
"number": "1144318932",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "42 MDG 300 S. TWININGS ST",
"address_2": "MAXWELL AFB",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "36112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 TWINING ST",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361126027",
"telephone_number": "334-953-5430"
}
],
"practiceLocations": [
{
"address_1": "8415 Bellona Ln",
"address_2": "SUITE 201",
"address_purpose": "LOCATION",
"city": "Towson",
"state": "MD",
"postal_code": "212042055",
"country_code": "US",
"telephone_number": "410-821-7775 x123",
"fax_number": "410-821-6437",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WELLMEIER",
"first_name": "AMY",
"middle_name": "KEMP",
"name_prefix": "Ms.",
"credential": "LCSW-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-10",
"last_updated": "2018-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "GA",
"license": "CSW004187",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "CSW004187",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENCE",
"identifier": "12283",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Montgomery, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.