Amy Christie, LCSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

150.103615 Issued in IL

Practice address

622 Davis St Ste 200
Evanston, IL 60201-4491

Phone

(773) 294-0176

NPI assigned

Mar 13, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Amy Carlson Hick Former name

Medicare fee-for-service enrollment

Enrolled in MI

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

Medicare enrollment (NPD)

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.

• Judson Center, Inc.

  • Community/Behavioral Health Agency
  • Royal Oak, MI
  • NPI 1033264890
  Medicare reassignment NPD
• Judson Center, Inc.

  • Family Medicine Physician
  • Warren, MI
  • NPI 1396217600
  NPD
• Polina Reyngold, LTD

  • Professional Counselor
  • Evanston, IL
  • NPI 1649644071
  NPD (past)

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

{
    "created_epoch": "1584057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741219200000",
    "number": "1487280145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1407 N PLEASANT ST",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480674337",
            "telephone_number": "847-542-5681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "622 DAVIS ST STE 200",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602014491",
            "telephone_number": "773-294-0176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTIE",
        "first_name": "AMY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-13",
        "last_updated": "2025-03-06",
        "certification_date": "2025-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": "150.103615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "HICK",
            "middle_name": "CARLSON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Chris O. Costas, M.D. SC
• Robert Chris, MD
• Heather M Christain, DPT
• Christian Nolten D M D LTD
• Shana N Christian, MD
• Sarah Kearns Christopoulos, APN-CRNA
• Chronic Illness Psychotherapy LLC
• Anna Chu, APRN
• Rowena Arlene Chua, M.D.
• Emily Chuang

• Social Worker in Evanston, IL
• Providers in Evanston, IL by specialty
• Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.