Individual provider Active NPI

Amy Susan Simpson, LMSW

  • Clinical Social Worker
  • Whitehall, MI
National Provider Identifier
1689009979
Registry record updated Aug 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801085932 Issued in MI
Practice address
905 E Colby St Ste 100
Whitehall, MI 49461-1262
Phone
(231) 672-8050
Fax
(231) 672-8048
NPI assigned
Sep 5, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2022

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 6801085932 MI Primary

Addresses

Primary practice location

905 E Colby St Ste 100
Whitehall, MI 49461-1262

Mailing address

PO Box 776982
Chicago, IL 60677-6982
Phone (231) 672-2119

Other identifiers 1

IdentifierTypeStateIssuer
1689009979MedicaidMI

Other names 1

  • Amy Susan Miller Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20220811001627 MI Practitioner - Clinical Social Worker 0749663565 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Health PartnersGroup PAC ID 1456430016, 65 clinicians

Practice addresses (Care Compare)

905 E Colby St
Whitehall, MI 49461-1262
Phone (231) 728-5910

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801085932MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Partners CurrentSince Aug 1, 2022 Accepting new patients
Mercy Health Partners CurrentSince Aug 1, 2022 Accepting new patients

Locations

71 Bevier St
Shelby, MI 49455
Phone (231) 861-2172

905 E Colby St
Ste 100
Whitehall, MI 49461
Phone (231) 672-8050

905 E Colby St
Whitehall, MI 49461
Phone (231) 672-8050

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1378339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660262400000",
    "number": "1689009979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 776982",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606776982",
            "telephone_number": "231-672-2119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 E COLBY ST STE 100",
            "city": "WHITEHALL",
            "state": "MI",
            "postal_code": "494611262",
            "telephone_number": "231-672-8050",
            "fax_number": "231-672-8048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMPSON",
        "first_name": "AMY",
        "middle_name": "SUSAN",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-05",
        "last_updated": "2022-08-12",
        "certification_date": "2022-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801085932",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1689009979",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "MILLER",
            "middle_name": "SUSAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Whitehall, MI

Sources for this page

Verify at the official NPI Registry.