Amy Perricone

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801093346 Issued in MI

Practice address

1420 Trails End St
Kalamazoo, MI 49001-4318

Phone

(269) 998-5035

NPI assigned

May 24, 2022

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Electronic endpoints 1

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, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Trio Wellspace, LLCGroup PAC ID 5092197699, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Amy Perricone Therapy LLC

  • Clinical Social Worker
  • Holland, MI
  • NPI 1952190746
  Medicare reassignment NPD Authorized official
• Trio Wellspace, LLC

  • Clinical Social Worker
  • Holland, MI
  • NPI 1831859826
  Medicare reassignment Care Compare group NPD
• Kalamazoo County Community Mental Health Authority

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Kalamazoo, MI
  • NPI 1710066253
  Medicare reassignment NPD
• Western Michigan University

  • Health Service Clinic/Center
  • Kalamazoo, MI
  • NPI 1467470492
  Medicare reassignment NPD
• Kalamazoo County Community Mental Health Authority

  • Community/Behavioral Health Agency
  • Kalamazoo, MI
  • NPI 1477225506
  NPD
• Western Michigan University

  • Multi-Specialty Clinic/Center
  • Kalamazoo, MI
  • NPI 1538340567

  Social Worker

  NPD

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

{
    "created_epoch": "1653350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653350400000",
    "number": "1194463745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 TRAILS END ST",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490014318",
            "telephone_number": "269-998-5035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 TRAILS END ST",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490014318",
            "telephone_number": "269-998-5035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRICONE",
        "first_name": "AMY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-24",
        "last_updated": "2022-05-24",
        "certification_date": "2022-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW.09924405",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801093346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "amy.l.perricone@wmich.edu",
            "affiliation": "N",
            "address_1": "1420 Trails End St",
            "city": "Kalamazoo",
            "state": "MI",
            "country_code": "US",
            "postal_code": "490014318",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Morgan Rae Pepple, DNP
• Susan Marie Perez, NP
• Madison Perkins
• Millicent Marie Perkins, PSY.D.
• Mandy Lynn Perl, LMSW
• Katherine Elizabeth Perricone, BS, MA
• Michelle Christine Perrigo, LLMSW
• Karen M Perrine
• Alyssa Perry, DPT
• Benjamin Allan Perry, MD

• 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 May 24, 2022; 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.