Amy McConnell, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

34007244A Issued in IN

Practice address

3930 W 78TH CT
Apt 10
Merrillville, IN 46410-8704

Phone

(317) 442-8711

NPI assigned

Aug 19, 2015

Last updated

Jan 4, 2017By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1439942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483488000000",
    "number": "1790151272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3930 W 78TH CT",
            "address_2": "APT 10",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464108704",
            "telephone_number": "317-442-8711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3930 W 78TH CT",
            "address_2": "APT 10",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464108704",
            "telephone_number": "317-442-8711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCONNELL",
        "first_name": "AMY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-19",
        "last_updated": "2017-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34007244A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dasia McClain, MD
• Tyrina McClain, RBT
• Deja McClatchey, RBT
• Kristina McClellan, PA-C
• Shawn McClure, MSN APN PMHNP-BC
• Reva McCoy
• Roziland McCoy
• Chauntilly McCrowley
• Deborah L McCullough, M.D
• Juliette McCullough

• Clinical Social Worker in Merrillville, IN
• Providers in Merrillville, IN by specialty
• Clinical Social Worker in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.