Amy Lynette Witham, MSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

127428 Issued in IA

Practice address

720 Kenyon Rd
Fort Dodge, IA 50501-5787

Phone

(515) 955-7171

Fax

(515) 573-7898

NPI assigned

Apr 10, 2008

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

Medicare fee-for-service enrollment

Enrolled in IA

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

Specialty

Clinical Social Worker

Education

Other, 2007

Medicare assignment

May accept Medicare assignment

Group practices

North Central Iowa Mental Health Center, IncGroup PAC ID 1153210232, 16 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• North Central Iowa Mental Health Center Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Fort Dodge, IA
  • NPI 1922188606
  Medicare reassignment Care Compare group NPD
• North Central Iowa Mental Health Center Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Fort Dodge, IA
  • NPI 1801635404
  NPD
• Alliance for Growth

  • Professional Counselor
  • Laramie, WY
  • NPI 1760653596
  NPD (past)

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

{
    "created_epoch": "1207785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773705600000",
    "number": "1598938573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1661 N 30TH ST",
            "city": "FORT DODGE",
            "state": "IA",
            "postal_code": "505017941",
            "telephone_number": "785-230-4130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 KENYON RD",
            "city": "FORT DODGE",
            "state": "IA",
            "postal_code": "505015787",
            "telephone_number": "515-955-7171",
            "fax_number": "515-573-7898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WITHAM",
        "first_name": "AMY",
        "middle_name": "LYNETTE",
        "name_prefix": "Mrs.",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-10",
        "last_updated": "2026-03-17",
        "certification_date": "2026-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IA",
            "license": "127428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grant Wilson, PA-C
• James Matthew Wilson, M.D.
• Michael David Wilson, DPM
• Savannah Meredith Wiltfang, DNAP, CRNA
• Alycia Julia Wirtz
• Breannon Wiuff
• Donna Ann Wong
• Alexis Lerae Woodley
• Emily Ann Wubben, ARNP
• Richard B Wyatt, MD

• Social Worker in Fort Dodge, IA
• Providers in Fort Dodge, IA by specialty
• Social Worker in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2026; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.