Individual provider Active NPI

Amy Evans Hukle, LSCSW

  • Clinical Social Worker
  • Wellington, KS
National Provider Identifier
1902288038
Registry record updated Nov 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
085838 Issued in KS
Practice address
1601 W 16TH St
Wellington, KS 67152-8125
Phone
(620) 326-7448
Fax
(620) 326-6662
NPI assigned
Jun 25, 2015
Last updated
Nov 17, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2023

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 085838 KS Primary

Addresses

Primary practice location

1601 W 16TH St
Wellington, KS 67152-8125

Mailing address

1601 W 16TH St
Wellington, KS 67152-8125
Phone (620) 326-7448

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20220902001617 KS Practitioner - Clinical Social Worker 7315321791 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sumner Mental Health CenterGroup PAC ID 1759337959, 14 clinicians

Practice addresses (Care Compare)

1601 W 16TH St
Wellington, KS 67152-8125
Phone (620) 326-7448

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
085838KSMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Sumner Mental Health Center CurrentSince Jul 27, 2022 Accepting new patients

Locations

1601 W 16th St
Wellington, KS 67152
Phone (316) 326-7448

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": "1435190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700179200000",
    "number": "1902288038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 W 16TH ST",
            "city": "WELLINGTON",
            "state": "KS",
            "postal_code": "671528125",
            "telephone_number": "620-326-7448",
            "fax_number": "620-326-6662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 W 16TH ST",
            "city": "WELLINGTON",
            "state": "KS",
            "postal_code": "671528125",
            "telephone_number": "620-326-7448",
            "fax_number": "620-326-6662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUKLE",
        "first_name": "AMY",
        "middle_name": "EVANS",
        "credential": "LSCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-25",
        "last_updated": "2023-11-17",
        "certification_date": "2023-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "085838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellington, KS

Sources for this page

Verify at the official NPI Registry.