Individual provider Active NPI

Amy M Champaigne, LMSW

  • Clinical Social Worker
  • Okemos, MI
National Provider Identifier
1295933950
Registry record updated Mar 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801085291 Issued in MI
Practice address
3970 Heritage Ave
Okemos, MI 48864-3344
Phone
(517) 507-5892
NPI assigned
Jul 4, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2026

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 6801085291 MI Primary

Addresses

Primary practice location

3970 Heritage Ave
Okemos, MI 48864-3344

Mailing address

3970 Heritage Ave
Okemos, MI 48864-3344
Phone (517) 507-5892

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20080716000488 MI Practitioner - Clinical Social Worker 3870666365 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Spring Forest Counseling LLPGroup PAC ID 4183043698, 15 clinicians

Practice addresses (Care Compare)

3970 Heritage Ave
Okemos, MI 48864-3344
Phone (517) 258-2951

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801085291MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Spring Forest Counseling LLP CurrentSince Sep 18, 2020 Accepting new patients
St. Vincent Catholic Charities Past Accepting new patients
Inclusive Wellness LLC Counselor PastSince Mar 1, 2021 Accepting new patients

Locations

3970 Heritage Ave
Okemos, MI 48864
Phone (517) 258-2951

3899 Okemos Rd
Ste A1
Okemos, MI 48864
Phone (517) 395-2260

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1183507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774828800000",
    "number": "1295933950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3970 HERITAGE AVE",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488643344",
            "telephone_number": "517-507-5892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3970 HERITAGE AVE",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488643344",
            "telephone_number": "517-507-5892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAMPAIGNE",
        "first_name": "AMY",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-04",
        "last_updated": "2026-03-30",
        "certification_date": "2026-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801085291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Okemos, MI

Sources for this page

Verify at the official NPI Registry.