Amy Jo Smitke, LISW-S, LICDC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I.1201425 Issued in OH

Practice address

185 S Liberty St
Powell, OH 43065-7619

Phone

(402) 336-3577

NPI assigned

Jun 23, 2015

Last updated

Aug 17, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Amy Jo Miller Former name

Medicare fee-for-service enrollment

Enrolled in OH

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

Medicare enrollment (NPD)

Enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Columbus Women's Wellness, LLC

  • Clinical Psychologist
  • Gahanna, OH
  • NPI 1346774742
  Medicare reassignment NPD
• My Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Canton, OH
  • NPI 1588117147
  Medicare reassignment NPD
• Sondermind Provider Network LLC

  • Clinical Social Worker
  • Denver, CO
  • NPI 1760854442

  OH

  Medicare reassignment NPD
• Motivated Wellness Solutions, LLC

  • Mental Health Counselor
  • Powell, OH
  • NPI 1245806710
  NPD Authorized official
• Theravault, LLC

  • Mental Health Counselor
  • Powell, OH
  • NPI 1922674563
  NPD Authorized official
• My Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Canton, OH
  • NPI 1659146884

  Clinical

  NPD
• My Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Magnolia, OH
  • NPI 1306495312
  NPD (past)

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

{
    "created_epoch": "1435017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660694400000",
    "number": "1730561036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 143",
            "city": "OSTRANDER",
            "state": "OH",
            "postal_code": "430610143",
            "telephone_number": "740-974-7177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 S LIBERTY ST",
            "city": "POWELL",
            "state": "OH",
            "postal_code": "430657619",
            "telephone_number": "402-336-3577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITKE",
        "first_name": "AMY",
        "middle_name": "JO",
        "name_prefix": "Mrs.",
        "credential": "LISW-S, LICDC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-23",
        "last_updated": "2022-08-17",
        "certification_date": "2022-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "ICDC.131089",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.1201425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "MILLER",
            "middle_name": "JO",
            "credential": "LISW-S, LICDC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jennifer M Smith-Dudash
• Briggs Nicole Smith
• Donna Smith
• Jennifer Gabrielle Smith
• Kimberly Smith
• Caitlin Rae Solari, CNP
• Robin Ann Sopher, PT,DPT
• Hannah Beth Sovacool
• Rachel Marie Spencer, AU.D
• Renee Soloway Spiegler, PT

• Clinical Social Worker in Powell, OH
• Providers in Powell, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.