Amy Povich
Individual provider Active NPI Social Worker · Shawnee, KS
NPI 1689149262 · NPPES record last updated Oct 10, 2018
Key facts
- NPI
- 1689149262
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 11020 (KS)
- Practice address
- 6440 Nieman Rd
Shawnee, KS 66203-3326 - Phone
- (913) 826-4200
- Fax
- (913) 826-1589
- NPI assigned
- Oct 10, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Health Partnership Clinic Inc
Practice addresses (Care Compare)
405 S Clairborne Rd
Suite 2
Olathe, KS 66062-1774
407 S Clairborne Rd
Olathe, KS 66062-1744
Phone (913) 648-2266
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250918001850 | KS | Practitioner - Clinical Social Worker | 6204330665 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11020 | KS | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Health Partnership Clinic, Inc. | Current |
Accepting new patients | |
| Health Partnership Clinic, Inc. | Current |
Accepting new patients | |
| Health Partnership Clinic, Inc. | Past |
Accepting new patients |
Locations
405 S Clairborne Rd
Ste 2
Olathe, KS 66062
Phone (913) 390-7816
407 S Clairborne Rd
Ste 104
Olathe, KS 66062
107 S Main St
Ottawa, KS 66067
Phone (913) 401-2750
8800 W 85th St
Overland Park, KS 66212
1604 Industrial Park Dr
Paola, KS 66071
Phone (913) 294-9223
9119 W 74th St
Ste 210
Shawnee Mission, KS 66204
Phone (913) 432-3334
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 11020 | KS | Yes |
Addresses
Primary practice location
6440 Nieman Rd
Shawnee, KS 66203-3326
Mailing address
6000 Lamar Ave Ste 130
Mission, KS 66202-3299
Phone (913) 826-4200
Other providers in Shawnee, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 10, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.