Amy Katharine Carlson, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

103860 Issued in AK

Practice address

600 3Rd St Ste 200
Fairbanks, AK 99701-3569

Phone

(907) 885-0113

NPI assigned

Nov 7, 2013

Last updated

Dec 28, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Enrolled in AK

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

Specialty

Clinical Social Worker

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ge Family Services LLCGroup PAC ID 0244697712, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Ge Family Services LLC

  dba GE Family Services

  • Multi-Specialty Clinic/Center
  • Anchorage, AK
  • NPI 1265174502
  Medicare reassignment Care Compare group NPD
• Turning Point LLC

  • Community/Behavioral Health Agency
  • Fairbanks, AK
  • NPI 1619108677
  NPD (past)

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

{
    "created_epoch": "1383782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735344000000",
    "number": "1881023018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 81156",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997081156",
            "telephone_number": "208-200-1123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 3RD ST STE 200",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997013569",
            "telephone_number": "907-885-0113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLSON",
        "first_name": "AMY",
        "middle_name": "KATHARINE",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-07",
        "last_updated": "2024-12-28",
        "certification_date": "2024-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AK",
            "license": "103860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caring Bridges Assisted Living Home Inc
• Carlile Chiropractic LLC.
• Jonathan Stephen Carlile Sr., D.C.
• Barbara Eleanor Carlin
• Margaret Eileen Carlson Cosentino, DO
• Anders Harbord Carlson, PT
• Hannah Brooks Carlson
• Jennifer Carlson, PT
• Kimberly Carlson
• Heather M Carmichael, LAC

• Clinical Social Worker in Fairbanks, AK
• Providers in Fairbanks, AK by specialty
• Clinical Social Worker in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.