Individual provider Active NPI

Amy Wells, LCSW

  • Clinical Social Worker
  • Valdosta, GA
National Provider Identifier
1831127745
Registry record updated Apr 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
003036 Issued in GA
Practice address
2310 N Patterson St BLDG H
Valdosta, GA 31602-2500
Phone
(229) 333-0300
Fax
(229) 333-0306
NPI assigned
Jun 29, 2006
Last updated
Apr 24, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 003036 GA Primary

Addresses

Primary practice location

2310 N Patterson St BLDG H
Valdosta, GA 31602-2500

Mailing address

2310 N Patterson St BLDG H
Valdosta, GA 31602-2500
Phone (229) 333-0300

Other practice location 1

2914 N Oak St
Valdosta, GA 31602-1718
Phone (229) 333-0300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20060309000423 GA Practitioner - Clinical Social Worker 4385651793 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1998
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2310 N Patterson St
BLDG H
Valdosta, GA 31602-2500
Phone (229) 333-0300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
003036GAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Amy H. Wells, LCSW PC Clinical CurrentSince Sep 15, 2012 Accepting new patients

Locations

2310 N Patterson St
Bldg H
Valdosta, GA 31602
Phone (229) 333-0300

2914 N Oak St
Valdosta, GA 31602
Phone (229) 333-0300

3350 Noble Way
Ste B
Valdosta, GA 31605
Phone (229) 292-4103

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, 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": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745452800000",
    "number": "1831127745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2310 N PATTERSON ST BLDG H",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316022500",
            "telephone_number": "229-333-0300",
            "fax_number": "229-333-0306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2310 N PATTERSON ST BLDG H",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316022500",
            "telephone_number": "229-333-0300",
            "fax_number": "229-333-0306"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2914 N OAK ST",
            "address_purpose": "LOCATION",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316021718",
            "country_code": "US",
            "telephone_number": "229-333-0300",
            "fax_number": "229-333-0306",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WELLS",
        "first_name": "AMY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-29",
        "last_updated": "2025-04-24",
        "certification_date": "2025-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "003036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valdosta, GA

Sources for this page

Verify at the official NPI Registry.