Individual provider Active NPI

Amy Cline, BS

  • Social Worker
  • Lexington, KY
National Provider Identifier
1447436449
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
2250 Thunderstick Dr
Lexington, KY 40505-9010
Phone
(859) 254-1035
Fax
(859) 254-1075
NPI assigned
Jan 21, 2008
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 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
Social Worker 104100000X NU Primary

Addresses

Primary practice location

2250 Thunderstick Dr
Lexington, KY 40505-9010

Mailing address

2250 Thunderstick Dr
Lexington, KY 40505-9010
Phone (859) 254-1035

Other practice location 1

60 Professional Park Dr
Louisa, KY 41230-9644
Phone (606) 638-4332

Other practice location 2

60 Professional Park Dr
Louisa, KY 41230-9644
Phone (606) 638-4332

Other identifiers 1

IdentifierTypeStateIssuer
30610026MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Bachelor of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Pathways, Inc Past Accepting new patients
Pathways Inc Past Accepting new patients

Organizations & group practices 2

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": "1200873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1447436449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2250 THUNDERSTICK DR",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405059010",
            "telephone_number": "859-254-1035",
            "fax_number": "859-254-1075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2250 THUNDERSTICK DR",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405059010",
            "telephone_number": "859-254-1035",
            "fax_number": "859-254-1075"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "60 Professional Park Dr",
            "address_purpose": "LOCATION",
            "city": "Louisa",
            "state": "KY",
            "postal_code": "412309644",
            "country_code": "US",
            "telephone_number": "606-638-4332",
            "fax_number": "606-638-4394",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "60 Professional Park Dr",
            "address_purpose": "LOCATION",
            "city": "Louisa",
            "state": "KY",
            "postal_code": "412309644",
            "country_code": "US",
            "telephone_number": "606-638-4332",
            "fax_number": "606-638-4394",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLINE",
        "first_name": "AMY",
        "credential": "BS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-21",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30610026",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.