Active NPI
Amy Elizabeth Barton, L.C.S.W.
- Clinical Social Worker
- Mount Vernon, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149.017344
- 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, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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 Association
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
| License | State | Type | Specialty |
|---|---|---|---|
| 149.017344 | IL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fairfield Memorial Hospital Association | Current | Accepting new patients | |
| Fairfield Memorial Hospital Association | Current | 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
- https://api.platform.athenahealth.com/11356/brand/1/csg/161/fhir/r4
- 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.
-
- Critical Access Hospital
- Fairfield, IL
- NPI 1255422416
-
dba Horizon Healthcare
- Family Medicine Physician
- Fairfield, IL
- NPI 1649442419
-
dba Horizon Healthcare
- Rural Health Clinic/Center
- Fairfield, IL
- NPI 1295908853
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Mount Vernon, IL
- NPI 1841539640
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.