Amy Meadow Smith, LSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

33010534A Issued in IN

Practice address

113 Lincolnway E
Mishawaka, IN 46544-2016

Phone

(574) 255-4976

NPI assigned

Feb 21, 2012

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

Other names 1

• Mrs. Amy Meadow Smith Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/24035/brand/1/csg/1/fhir/r4
• Direct secure messaging: amy.smith.1@24035.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Lincoln Counseling, PC

  • Social Worker
  • South Bend, IN
  • NPI 1083788426

  Mental Health

  NPD
• Psych Pointe LLC

  • Community/Behavioral Health Agency
  • Mishawaka, IN
  • NPI 1861087355
  NPD

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

{
    "created_epoch": "1329782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645660800000",
    "number": "1861765810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 LINCOLNWAY E",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465442016",
            "telephone_number": "574-255-4976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 LINCOLNWAY E",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465442016",
            "telephone_number": "574-255-4976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "AMY",
        "middle_name": "MEADOW",
        "name_prefix": "Mrs.",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-21",
        "last_updated": "2022-02-24",
        "certification_date": "2022-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IN",
            "license": "33010534A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "SMITH",
            "middle_name": "MEADOW",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sara Skodinski, MSW
• Donna M Skorupski, MSW
• Sleep Well Centers, LLC
• Allyson Brianne Brunet Slusser, DO
• Smith Counseling Services LLC
• Cameron Smith, PHARMD
• Emily Kaitlyn Smith, BCBA
• Mariah Smith, DO
• Mark C Smith, DC
• Michele M Smith, FNP-BC

• Social Worker in Mishawaka, IN
• Providers in Mishawaka, IN by specialty
• Social Worker in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2022; 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.