Individual provider Active NPI

Amy Patterson, LCSW

  • Clinical Social Worker
  • Plymouth, IN
National Provider Identifier
1457528747
Registry record updated Feb 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.017203 Issued in IL
Practice address
2904 Miller Dr
Plymouth, IN 46563-8083
Phone
(574) 936-9646
NPI assigned
May 15, 2008
Last updated
Feb 11, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 149.017203 IL Primary
Clinical Social Worker 1041C0700X 34005551A IN

Addresses

Primary practice location

2904 Miller Dr
Plymouth, IN 46563-8083

Mailing address

2621 E Jefferson St
Warsaw, IN 46580-3880

Other identifiers 1

IdentifierTypeStateIssuer
485380AOtherINMEDICARE GROUP NUMBER

Other names 1

  • Amy Pawlowski Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, IL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20111013000015 IN Practitioner - Clinical Social Worker 7214109446 Reassigns benefits to 3 organizations
I20161108000880 IL Practitioner - Clinical Social Worker 7214109446 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oak Street Health Physicians Group PCGroup PAC ID 7517109879, 227 clinicians

Practice addresses (Care Compare)

1310 Broadway
Gary, IN 46407-1309
Phone (219) 985-3915

5818 Columbia Ave
Hammond, IN 46320-2607
Phone (219) 237-5160

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149.017203ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Bowen Health Inc CurrentSince Jan 26, 2026 Accepting new patients
Osh-in Physicians Group, PC CurrentSince Nov 11, 2024 Accepting new patients
Oak Street Health Physicians Group, PC CurrentSince Nov 11, 2024 Accepting new patients
Lifeline Behavioral Healthcare LTD. CurrentSince Feb 23, 2018 Accepting new patients
Vitae Health Medical Illinois, PLLC Clinical CurrentSince Jul 1, 2022 Accepting new patients
Bowen Health, Inc. Past Accepting new patients

Locations

303 E Wacker Dr
Ste 1127
Chicago, IL 60601
Phone (312) 328-2347

18301 Distinctive Dr
Orland Park, IL 60467
Phone (708) 606-1334

18300 Lavergne Ave
Frnt
Tinley Park, IL 60478
Phone (708) 798-2272

5818 Columbia Ave
Hammond, IN 46320
Phone (219) 237-5160

2904 Miller Dr
Plymouth, IN 46563
Phone (574) 935-9646

5926 Crawfordsville Rd
#B
Speedway, IN 46224
Phone (317) 653-2730

2621 E Jefferson St
Warsaw, IN 46580
Phone (574) 269-0573

850 N Harrison St
Warsaw, IN 46580
Phone (219) 267-7169

Interoperability endpoints

  • Direct secure messaging: amy.pawlowski.p1@direct.northshorehealth.nextgenshare.com

Organizations & group practices 7

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": "1210809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770768000000",
    "number": "1457528747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2621 E JEFFERSON ST",
            "city": "WARSAW",
            "state": "IN",
            "postal_code": "465803880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2904 MILLER DR",
            "city": "PLYMOUTH",
            "state": "IN",
            "postal_code": "465638083",
            "telephone_number": "574-936-9646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTERSON",
        "first_name": "AMY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-15",
        "last_updated": "2026-02-11",
        "certification_date": "2026-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.017203",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34005551A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "485380A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "PAWLOWSKI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Plymouth, IN

Sources for this page

Verify at the official NPI Registry.