Amy S Medrano

Primary specialty

Social WorkerTaxonomy code 104100000X

License

S.1440365 Issued in OH

Practice address

765 N Detroit St
Xenia, OH 45385-1960

Phone

(937) 505-1877

Fax

(800) 480-7578

NPI assigned

Oct 17, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Anew Behavioral Health of Indiana

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Athens, OH
  • NPI 1609689033
  NPD

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

{
    "created_epoch": "1602892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759795200000",
    "number": "1407455835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "712 BEERY BLVD",
            "city": "UNION",
            "state": "OH",
            "postal_code": "453222904",
            "telephone_number": "937-543-6398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "765 N DETROIT ST",
            "city": "XENIA",
            "state": "OH",
            "postal_code": "453851960",
            "telephone_number": "937-505-1877",
            "fax_number": "800-480-7578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDRANO",
        "first_name": "AMY",
        "middle_name": "S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-17",
        "last_updated": "2025-10-07",
        "certification_date": "2025-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S.1440365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria McReynolds, SLP
• Michael McVey, LPCC
• Shelly Lynn Meade, LPN
• Medical Service Associates of Xenia Inc
• Medical Service Associates of Xenia, Inc.
• Sara D Mefford
• Shannon Lyn Merriman, RN
• Andrew Joseph Mesaros Jr., DDS
• Shelley Kay Meyerhoeffer, COTA/L
• Samuel Mickle

• Social Worker in Xenia, OH
• Providers in Xenia, OH by specialty
• Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.