NPIMap

Individual provider Active NPI

Amy Beth Weast, MSW, LCSW

  • Clinical Social Worker
  • Mukwonago, WI
National Provider Identifier
1912292145
Registry record updated Sep 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1931-123 Issued in WI
Practice address
W247S10395 Center Dr
Mukwonago, WI 53149-9166
Phone
(262) 971-9100
Fax
(262) 662-5688
NPI assigned
Jun 15, 2011
Last updated
Sep 30, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2013

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 1931-123 WI Primary

Addresses

Primary practice location

W247S10395 Center Dr
Mukwonago, WI 53149-9166

Mailing address

W344S10517 County Rd E
Mukwonago, WI 53149-9552
Phone (262) 745-7297

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Waukesha County CurrentSince Mar 15, 2016 Accepting new patients
Waukesha County CurrentSince Mar 15, 2016 Accepting new patients
Waukesha County Current Accepting new patients
Ap Associates Clinical Past Accepting new patients
Norris Adolescent Center Past Accepting new patients
Associates in Psychotherapy, LLC Clinical Past Accepting new patients
Norris Adolescent Center Past Accepting new patients

Locations

1501 Airport Rd
Waukesha, WI 53188
Phone (262) 548-7950

514 Riverview Ave
Waukesha, WI 53188
Phone (262) 548-7212

Organizations & group practices 7

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": "1308096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380499200000",
    "number": "1912292145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W344S10517 COUNTY RD E",
            "city": "MUKWONAGO",
            "state": "WI",
            "postal_code": "531499552",
            "telephone_number": "262-745-7297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "W247S10395 CENTER DR",
            "city": "MUKWONAGO",
            "state": "WI",
            "postal_code": "531499166",
            "telephone_number": "262-971-9100",
            "fax_number": "262-662-5688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEAST",
        "first_name": "AMY",
        "middle_name": "BETH",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-15",
        "last_updated": "2013-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "1931-123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mukwonago, WI

Sources for this page

Verify at the official NPI Registry.