Penny Deon Amy, LSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

33011540A Issued in IN

Practice address

5604 E White Oak LN
Marengo, IN 47140-8413

Phone

(812) 365-3221

Fax

(812) 365-9502

NPI assigned

Jun 19, 2023

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

Medicare fee-for-service enrollment

Enrolled in IN

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, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Personal Counseling Services IncGroup PAC ID 2264931880, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Personal Counseling Services, Inc.

  • Mental Health Counselor
  • Clarksville, IN
  • NPI 1285793380

  IN

  Medicare reassignment Care Compare group
• Stone City Counseling Inc

  • Counselor
  • Bedford, IN
  • NPI 1881848448
  NPD (past)

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

{
    "created_epoch": "1687132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687132800000",
    "number": "1902581994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 270",
            "city": "PAOLI",
            "state": "IN",
            "postal_code": "474540270",
            "telephone_number": "812-723-3944",
            "fax_number": "812-723-7989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5604 E WHITE OAK LN",
            "city": "MARENGO",
            "state": "IN",
            "postal_code": "471408413",
            "telephone_number": "812-365-3221",
            "fax_number": "812-365-9502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEON AMY",
        "first_name": "PENNY",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-19",
        "last_updated": "2023-06-19",
        "certification_date": "2023-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IN",
            "license": "33011540A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crawford County Community School Corp
• Howard D Detweiler, N. P.
• Engleking RX Marengo LLC
• Jefferson Street Holdings LLC
• Deborah J. Reichenbach, MDIV, MA
• Christi Lee Self, F.N.P.

• All providers in Marengo, IN
• Social Worker in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2023; 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.