Individual provider Active NPI

Amy Elizabeth Barton, L.C.S.W.

  • Clinical Social Worker
  • Mount Vernon, IL
National Provider Identifier
1376768531
Registry record updated Apr 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.017344 Issued in IL
Practice address
4110 N Water Tower PL
Mount Vernon, IL 62864-6295
Phone
(618) 242-8266
Fax
(618) 242-1150
NPI assigned
Apr 14, 2007
Last updated
Apr 26, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X NU
Clinical Social Worker 1041C0700X 149.017344 IL Primary

Addresses

Primary practice location

4110 N Water Tower PL
Mount Vernon, IL 62864-6295

Mailing address

14330 N Memory LN
Mount Vernon, IL 62864-7727
Phone (618) 242-3913

Other practice location 1

4243 Lincolnshire Dr
Mount Vernon, IL 62864-2157
Phone (618) 242-4244 ext. 13

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
I20190910003760 IL Practitioner - Clinical Social Worker 6709115108 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fairfield Memorial Hospital AssociationGroup PAC ID 5698671741, shared by 4 NPIs, 32 clinicians

Practice addresses (Care Compare)

213 NW 10TH St
Suite a
Fairfield, IL 62837-1219

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149.017344ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Fairfield Memorial Hospital Association CurrentSince Jul 15, 2019 Accepting new patients
Fairfield Memorial Hospital Association CurrentSince Jul 15, 2019 Accepting new patients
Fairfield Memorial Hospital Association Current Accepting new patients
One Hope United Past Accepting new patients

Locations

213 NW 10th St
Ste A
Fairfield, IL 62837
Phone (618) 842-4617

303 NW 11th St
Fairfield, IL 62837
Phone (618) 842-2611

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/11356/brand/1/csg/161/fhir/r4
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 4

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": "1176508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524700800000",
    "number": "1376768531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14330 N MEMORY LN",
            "city": "MOUNT VERNON",
            "state": "IL",
            "postal_code": "628647727",
            "telephone_number": "618-242-3913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4110 N WATER TOWER PL",
            "city": "MOUNT VERNON",
            "state": "IL",
            "postal_code": "628646295",
            "telephone_number": "618-242-8266",
            "fax_number": "618-242-1150"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4243 Lincolnshire Dr",
            "address_purpose": "LOCATION",
            "city": "Mount Vernon",
            "state": "IL",
            "postal_code": "628642157",
            "country_code": "US",
            "telephone_number": "618-242-4244 x13",
            "fax_number": "618-242-2568",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARTON",
        "first_name": "AMY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-14",
        "last_updated": "2018-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.017344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Vernon, IL

Sources for this page

Verify at the official NPI Registry.