Individual provider Active NPI

Amy Lee Kirkland, LCSW

  • Clinical Social Worker
  • Indianapolis, IN
National Provider Identifier
1912162918
Registry record updated Dec 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34005391A Issued in IN
Practice address
1525 N Ritter Ave
Indianapolis, IN 46219
Phone
(317) 359-5467
NPI assigned
Jul 20, 2008
Last updated
Dec 1, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X IN
Clinical Social Worker 1041C0700X 34005391A IN Primary

Addresses

Primary practice location

1525 N Ritter Ave
Indianapolis, IN 46219

Mailing address

5505 Eastbourne Cir
Indianapolis, IN 46226-1530

Other practice location 1

5638 Professional Cir
Indianapolis, IN 46241-5042
Phone (317) 247-8900

Other practice location 2

1525 N Ritter Ave
Indianapolis, IN 46219-3026
Phone (317) 621-7561

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20130402000064 IN Practitioner - Clinical Social Worker 9335384973 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2804 55TH PL
Suite N
Indianapolis, IN 46220-3586
Phone (317) 370-5931

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sanders and Associates. LLC Clinical CurrentSince Oct 1, 2020 Accepting new patients
Community Health Network, Inc CurrentSince Oct 1, 2019 Accepting new patients
Community Health Network, Inc Current Accepting new patients
Insight Voyages LLC Clinical CurrentSince Aug 15, 2024 Accepting new patients
Mental Health Specialty Group PA CurrentSince May 1, 2025 Accepting new patients

Locations

1525 N Ritter Ave
Indianapolis, IN 46219
Phone (317) 322-4087

2804 55th Pl
Ste N
Indianapolis, IN 46220
Phone (317) 370-5931

333 N Alabama St
Indianapolis, IN 46204
Phone (317) 395-3391

5555 N Tacoma Ave
Ste 204
Indianapolis, IN 46220
Phone (317) 257-7434

6626 E 75th St
Ste 500
Indianapolis, IN 46250
Phone (317) 621-7547

6950 Hillsdale Ct
Indianapolis, IN 46250
Phone (317) 621-7533

Organizations & group practices 5

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": "1216512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606780800000",
    "number": "1912162918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5505 EASTBOURNE CIR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462261530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 N RITTER AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "46219",
            "telephone_number": "317-359-5467"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5638 Professional Cir",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462415042",
            "country_code": "US",
            "telephone_number": "317-247-8900",
            "fax_number": "317-247-8935",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1525 N Ritter Ave",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462193026",
            "country_code": "US",
            "telephone_number": "317-621-7561",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIRKLAND",
        "first_name": "AMY",
        "middle_name": "LEE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-20",
        "last_updated": "2020-12-01",
        "certification_date": "2020-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34005391A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.