Individual provider Active NPI

Amber Jane Hill Garlick, LCSW

  • Clinical Social Worker
  • Columbus, IN
National Provider Identifier
1235860412
Registry record updated Jun 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34009725A Issued in IN
Practice address
200 Jackson St Apt 320
Columbus, IN 47201-6794
Phone
(812) 371-8595
NPI assigned
Jun 20, 2022
Last updated
Jun 20, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 20, 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 34009725A IN Primary

Addresses

Primary practice location

200 Jackson St Apt 320
Columbus, IN 47201-6794

Mailing address

200 Jackson St Apt 320
Columbus, IN 47201-6794
Phone (812) 371-8595

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, MI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220630000637 IN Practitioner - Clinical Social Worker 6204216724 Reassigns benefits to 2 organizations
I20260416000805 MI Practitioner - Clinical Social Worker 6204216724 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3540 Pump Rd
Suite 1188
Richmond, VA 23233-1115

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34009725AINMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Holon Health Great Lakes, P.C. CurrentSince Jul 1, 2024 Accepting new patients
Lswhb LLC CurrentSince May 25, 2022 Accepting new patients
Holon Health, Inc. PastSince Jul 1, 2024 Accepting new patients

Locations

5534 Saint Joe Rd
Fort Wayne, IN 46835
Phone (423) 502-1508

675 Justice Way
Indianapolis, IN 46203
Phone (317) 327-1700

675 Justice Way
Rm C49
Indianapolis, IN 46203
Phone (219) 798-3361

104 S 1st St
Terre Haute, IN 47807
Phone (513) 443-1700

3540 Pump Rd
Richmond, VA 23233
Phone (804) 404-6270

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1655683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655683200000",
    "number": "1235860412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 JACKSON ST APT 320",
            "city": "COLUMBUS",
            "state": "IN",
            "postal_code": "472016794",
            "telephone_number": "812-371-8595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 JACKSON ST APT 320",
            "city": "COLUMBUS",
            "state": "IN",
            "postal_code": "472016794",
            "telephone_number": "812-371-8595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARLICK",
        "first_name": "AMBER",
        "middle_name": "JANE HILL",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-20",
        "last_updated": "2022-06-20",
        "certification_date": "2022-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34009725A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, IN

Sources for this page

Verify at the official NPI Registry.