Amy J. Gartner,LCSW, Inc.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149011534 Issued in IL

Legal business name

AMY J. GARTNER,LCSW, INC.

Practice address

3210 Prairie View Dr
McHenry, IL 60050-8014

Phone

(815) 307-6056

NPI assigned

Mar 2, 2009

Last updated

Mar 2, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Amy J Gartner, LCSWNPI 1982841359

Title

President

Phone

(815) 307-6056

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Amy J Gartner, LCSW

  • Clinical Social Worker
  • Crystal Lake, IL
  • NPI 1982841359
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1235952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235952000000",
    "number": "1609016864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8600 US HIGHWAY 14",
            "address_2": "SUITE 105",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "60012",
            "telephone_number": "815-307-6056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3210 PRAIRIE VIEW DR",
            "city": "MCHENRY",
            "state": "IL",
            "postal_code": "600508014",
            "telephone_number": "815-307-6056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMY J. GARTNER,LCSW, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-02",
        "last_updated": "2009-03-02",
        "status": "A",
        "authorized_official_last_name": "GARTNER",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-307-6056",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149011534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Lorraine Dawn Amos
• Nicole Andersen
• Rebecca J Andersen, MD
• Bethany Anderson
• Calie Anderson
• Derek Anderson

• Clinical Social Worker in McHenry, IL
• Providers in McHenry, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.