Individual provider Active NPI

Amity Horsley, LMSW

  • Social Worker
  • Clinton Township, MI
National Provider Identifier
1689148652
Registry record updated Feb 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
6801106425 Issued in MI
Practice address
39425 Garfield Rd Ste 23
Clinton Township, MI 48038-4651
Phone
(248) 289-2946
NPI assigned
Jan 14, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801106425 MI
Social Worker 104100000X 6801106425 MI Primary

Addresses

Primary practice location

39425 Garfield Rd Ste 23
Clinton Township, MI 48038-4651

Mailing address

42153 Crescendo Dr S
Sterling Heights, MI 48314-3404
Phone (586) 625-2476

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
I20200314000027 MI Practitioner - Clinical Social Worker 6002244639 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Michigan Psychological PCGroup PAC ID 3274968672, 9 clinicians

Practice addresses (Care Compare)

29750 Harper Ave
Saint Clair Shores, MI 48082-2607
Phone (586) 777-3200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801106425MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan Psychological, P.C. CurrentSince Sep 28, 2024 Accepting new patients

Locations

48673 Hayes Rd
Shelby Township, MI 48315
Phone (586) 745-9020

29750 Harper Ave
St Clr Shores, MI 48082
Phone (586) 296-7770

Organizations & group practices 1

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": "1547424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643760000000",
    "number": "1689148652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42153 CRESCENDO DR S",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483143404",
            "telephone_number": "586-625-2476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39425 GARFIELD RD STE 23",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480384651",
            "telephone_number": "248-289-2946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORSLEY",
        "first_name": "AMITY",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-14",
        "last_updated": "2022-02-02",
        "certification_date": "2022-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801106425",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801106425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton Township, MI

Sources for this page

Verify at the official NPI Registry.