Amy H Pierce, LMSW
Individual provider Active NPI Social Worker · Andover, KS
NPI 1194497818 · NPPES record last updated Jan 25, 2022
Key facts
- NPI
- 1194497818
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 4056 (KS)
- Practice address
- 1400 Terradyne St
#227
Andover, KS 67002-1792 - Phone
- (316) 519-2896
- NPI assigned
- Sep 30, 2021
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4056 | KS | MD | Social Worker |
| 4058 | KS | MD | Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 4058 | KS | |
| Clinical Social Worker | 1041C0700X | 4058 | KS | |
| Social Worker | 104100000X | 4056 | KS | Yes |
Addresses
Primary practice location
1400 Terradyne St
#227
Andover, KS 67002-1792
Mailing address
14051 E Castlewood Cir
Wichita, KS 67230-1792
Phone (316) 519-2896
Other providers in Andover, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 25, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.