Individual provider Active NPI

Amie C Eipers, LCSW

  • Clinical Social Worker
  • Naperville, IL
National Provider Identifier
1194845180
Registry record updated Sep 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149011109 Issued in IL
Practice address
29 S Webster St Ste 395
Naperville, IL 60540-3101
Phone
(630) 379-4294
Fax
(630) 995-3714
NPI assigned
Mar 31, 2007
Last updated
Sep 15, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 15, 2022

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 149011109 IL Primary

Addresses

Primary practice location

29 S Webster St Ste 395
Naperville, IL 60540-3101

Mailing address

1309 Oconto CT
Naperville, IL 60564-9522
Phone (630) 379-4294

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20150323001865 IL Practitioner - Clinical Social Worker 1951628304 Practice locations: Naperville, IL

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

445 Jackson Ave
Suite 105a
Naperville, IL 60540-5257
Phone (630) 379-4294

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1175299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663200000000",
    "number": "1194845180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1309 OCONTO CT",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605649522",
            "telephone_number": "630-379-4294",
            "fax_number": "630-995-3714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 S WEBSTER ST STE 395",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605403101",
            "telephone_number": "630-379-4294",
            "fax_number": "630-995-3714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EIPERS",
        "first_name": "AMIE",
        "middle_name": "C",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-31",
        "last_updated": "2022-09-15",
        "certification_date": "2022-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149011109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

Verify at the official NPI Registry.