Individual provider Active NPI

Amber Joy Kochanny-Sheck, LMSW

  • Clinical Social Worker
  • Saginaw, MI
National Provider Identifier
1821580291
Registry record updated Jan 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801102678 Issued in MI
Practice address
3253 Congress Ave
Saginaw, MI 48602-3106
Phone
(989) 475-4171
Fax
(989) 393-6021
NPI assigned
Jun 1, 2018
Last updated
Jan 24, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 6801102678 MI
Clinical Social Worker 1041C0700X 6801102678 MI Primary

Addresses

Primary practice location

3253 Congress Ave
Saginaw, MI 48602-3106

Mailing address

3253 Congress Ave
Saginaw, MI 48602-3106
Phone (989) 475-4171

Other practice location 1

1522 Janes Ave
Saginaw, MI 48601-1819
Phone (989) 907-2761

Other practice location 2

3323 Shattuck Rd Ste 1
Saginaw, MI 48603-3184
Phone (989) 475-4171

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
I20200818002400 MI Practitioner - Clinical Social Worker 0345666582 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Michigan State University College of Human Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
McDowell Healing Arts Center LLCGroup PAC ID 2567767544, 6 clinicians

Practice addresses (Care Compare)

3995 Fashion Square Blvd
Suite 6
Saginaw, MI 48603-1291
Phone (989) 475-4171

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801102678MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Great Lakes Bay Health Centers CurrentSince Aug 10, 2020 Accepting new patients
McDowell Healing Arts Center LLC Clinical CurrentSince Nov 16, 2020 Accepting new patients
Great Lakes Bay Health Centers CurrentSince Aug 10, 2020 Accepting new patients

Locations

1522 Janes Ave
Saginaw, MI 48601
Phone (989) 755-0316

3023 Davenport Ave
Saginaw, MI 48602
Phone (989) 907-2761

3253 Congress Ave
Saginaw, MI 48602
Phone (989) 475-4171

3323 Shattuck Rd
Ste 1
Saginaw, MI 48603
Phone (989) 475-4171

3995 Fashion Square Blvd
Ste 6
Saginaw, MI 48603
Phone (989) 475-4171

501 Lapeer Ave
Saginaw, MI 48607
Phone (989) 753-6000

501 Lapeer Ave
#R
Saginaw, MI 48607
Phone (989) 753-6000

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1527811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706054400000",
    "number": "1821580291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3253 CONGRESS AVE",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486023106",
            "telephone_number": "989-475-4171",
            "fax_number": "989-393-6021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3253 CONGRESS AVE",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486023106",
            "telephone_number": "989-475-4171",
            "fax_number": "989-393-6021"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1522 Janes Ave",
            "address_purpose": "LOCATION",
            "city": "Saginaw",
            "state": "MI",
            "postal_code": "486011819",
            "country_code": "US",
            "telephone_number": "989-907-2761",
            "fax_number": "989-907-2762",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3323 Shattuck Rd Ste 1",
            "address_purpose": "LOCATION",
            "city": "Saginaw",
            "state": "MI",
            "postal_code": "486033184",
            "country_code": "US",
            "telephone_number": "989-475-4171",
            "fax_number": "989-393-6021",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOCHANNY-SHECK",
        "first_name": "AMBER",
        "middle_name": "JOY",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-01",
        "last_updated": "2024-01-24",
        "certification_date": "2024-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801102678",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801102678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saginaw, MI

Sources for this page

Verify at the official NPI Registry.