Amy Payne Clifton, LCSW
Individual provider Active NPI Clinical Social Worker · Statesboro, GA
NPI 1184765828 · NPPES record last updated Jul 28, 2016
Key facts
- NPI
- 1184765828
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- CSW003181 (GA)
- Practice address
- 204 S Main St
Statesboro, GA 30458-0723 - Phone
- (912) 662-6501
- NPI assigned
- Feb 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- A2C Therapeutic Services Inc
Practice addresses (Care Compare)
108 S Zetterower Ave
Statesboro, GA 30458-4816
Phone (912) 259-0671
1532 Fair Rd
Statesboro, GA 30458-1694
Phone (912) 681-2686
4344 Country Club Rd
Statesboro, GA 30458-9075
Phone (912) 489-4774
524 Pear Orchard Rd
Statesboro, GA 30458-6707
Phone (712) 687-6033
625 Gentilly Rd
Statesboro, GA 30458-5018
Phone (912) 681-1923
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040426001137 | GA | Practitioner - Clinical Social Worker | 2163419995 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CSW003181 | GA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| A2C Therapeutic Services Inc | Clinical | Current |
Accepting new patients |
| Senior Psych Solutions Corp | Clinical | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | CSW003181 | GA | Yes |
Addresses
Primary practice location
204 S Main St
Statesboro, GA 30458-0723
Mailing address
524 Pear Orchard Rd
Statesboro, GA 30458-9114
Other providers in Statesboro, GA
- Amy Dawn Clemons
- Kimberly Clemons
- Grace Ann Elizabeth Clendenin
- Richard E Cleveland
- Raina Cliett
- Sherry E Cline
- Victoria Antoinette Clower
- Coastal Georgia Psychodynamic Center, LLC
- Coastal Speech & Swallowing Disorders Center, LLC
- Coastal Voice & Dysphagia Diagnostics, LLC
All providers in Statesboro, GA · Clinical Social Worker in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 28, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.