Amy Southwood

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801104245 Issued in MI

Practice address

37899 W 12 Mile Rd Ste 130
Farmington Hills, MI 48331-3038

Phone

(248) 476-2229

Fax

(248) 476-4434

NPI assigned

Oct 1, 2019

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

• Aspire Therapy Services, PLLC

  • Psychologist
  • Farmington Hills, MI
  • NPI 1093190100
  NPD (past)
• Senior Counseling Services LLC

  • Clinical Social Worker
  • Farmington Hills, MI
  • NPI 1851719884
  NPD (past)

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

{
    "created_epoch": "1569888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1912548009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37899 W 12 MILE RD STE 130",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483313038",
            "telephone_number": "248-476-2229",
            "fax_number": "248-476-4434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37899 W 12 MILE RD STE 130",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483313038",
            "telephone_number": "248-476-2229",
            "fax_number": "248-476-4434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOUTHWOOD",
        "first_name": "AMY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-01",
        "last_updated": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801104245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "admin@seniorcounseling.info",
            "affiliation": "Y",
            "endpointDescription": "email",
            "address_1": "37899 W 12 Mile Rd Ste 130",
            "city": "Farmington Hills",
            "state": "MI",
            "country_code": "US",
            "postal_code": "483313038",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Maxwell L Southam
• Erin Southards
• Southfield Alternative Care Clinic
• Cecelia Southward
• Aaron Southwell
• Joan C. Southworth
• Micaela Souza
• Dina Sovern
• Reid Sowder
• Murray Sowell

• Clinical Social Worker in Farmington Hills, MI
• Providers in Farmington Hills, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.