Individual provider Active NPI

Amy Ruth Winters Champoux, MSW

  • Clinical Social Worker
  • Amherst, MA
National Provider Identifier
1588698351
Registry record updated Jul 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
113057 Issued in MA
Practice address
121 County Cir
Berkshire House 123 a Umass
Amherst, MA 01003-9256
Phone
(413) 545-0333
Fax
(413) 545-2699
NPI assigned
Jul 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2011

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 113057 MA Primary

Addresses

Primary practice location

121 County Cir
Berkshire House 123 a Umass
Amherst, MA 01003-9256

Mailing address

121 County Circle
Umass
Amherst, MA 01003
Phone (413) 545-0333

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20050531000056 MA Practitioner - Clinical Social Worker 3173565231 Practice locations: Northampton, MA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

39 Main St
Suite 31a
Northampton, MA 01060-3578
Phone (413) 522-3767

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310601600000",
    "number": "1588698351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 COUNTY CIRCLE",
            "address_2": "UMASS",
            "city": "AMHERST",
            "state": "MA",
            "postal_code": "01003",
            "telephone_number": "413-545-0333",
            "fax_number": "413-545-2699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 COUNTY CIR",
            "address_2": "BERKSHIRE HOUSE 123 A UMASS",
            "city": "AMHERST",
            "state": "MA",
            "postal_code": "010039256",
            "telephone_number": "413-545-0333",
            "fax_number": "413-545-2699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAMPOUX",
        "first_name": "AMY",
        "middle_name": "RUTH WINTERS",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-10",
        "last_updated": "2011-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "113057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amherst, MA

Sources for this page

Verify at the official NPI Registry.