Individual provider Active NPI

Amylynne Louise Prosser, LCSW

  • Clinical Social Worker
  • Bowling Green, KY
National Provider Identifier
1508479601
Registry record updated Jul 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
255138 Issued in KY
Practice address
1228 Ashley Cir Ste 1
Bowling Green, KY 42104-5803
Phone
(270) 991-0650
NPI assigned
Aug 28, 2020
Last updated
Jul 1, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 255138 KY Primary

Addresses

Primary practice location

1228 Ashley Cir Ste 1
Bowling Green, KY 42104-5803

Mailing address

1228 Ashley Cir Ste 1
Bowling Green, KY 42104-5803
Phone (270) 991-0650

Other names 1

  • Amylynne Hicks Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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

Enrollment IDStateProvider typePAC IDDetails
I20250421002159 KY Practitioner - Clinical Social Worker 7719402924 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
255138KYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Path Counseling Clinical CurrentSince Jun 1, 2025 Accepting new patients
Seven Counties Services, Inc. Clinical PastSince Aug 1, 2020 Accepting new patients
Counseling Connections, LLC Clinical PastSince Sep 1, 2025 Accepting new patients

Locations

1228 Ashley Cir
Ste 1
Bowling Green, KY 42104
Phone (270) 202-1096

720 Chestnut St
Bowling Green, KY 42101
Phone (270) 202-1096

Organizations & group practices 3

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": "1598572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751328000000",
    "number": "1508479601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1228 ASHLEY CIR STE 1",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421045803",
            "telephone_number": "270-991-0650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1228 ASHLEY CIR STE 1",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421045803",
            "telephone_number": "270-991-0650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROSSER",
        "first_name": "AMYLYNNE",
        "middle_name": "LOUISE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-28",
        "last_updated": "2025-07-01",
        "certification_date": "2025-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "255138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMYLYNNE",
            "last_name": "HICKS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bowling Green, KY

Sources for this page

Verify at the official NPI Registry.