Individual provider Active NPI

Amy R Schukofski, MSW

  • Clinical Social Worker
  • Monroe, MI
National Provider Identifier
1922682202
Registry record updated Aug 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801109628 Issued in MI
Practice address
214 E Elm Ave Ste 112
Monroe, MI 48162-2678
Phone
(734) 242-4673
Fax
(734) 242-4676
NPI assigned
May 12, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 9, 2022

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 MI
Clinical Social Worker 1041C0700X 6801109628 MI Primary

Addresses

Primary practice location

214 E Elm Ave Ste 112
Monroe, MI 48162-2678

Mailing address

214 E Elm Ave Ste 112
Monroe, MI 48162-2678
Phone (734) 242-4673

Other names 1

  • Amy Root Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20230830001249 MI Practitioner - Clinical Social Worker 1456714054 Practice locations: Monroe, MI

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

214 E Elm Ave
Suite 112
Monroe, MI 48162-2678
Phone (734) 242-4673

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801109628MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
You Matter Therapeutic Services Clinical CurrentSince Mar 12, 2024 Accepting new patients
Hatcher Yaeger & Associates PastSince Aug 14, 2022 Accepting new patients

Locations

214 E Elm Ave
Ste 112
Monroe, MI 48162
Phone (734) 242-4673

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1620777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660003200000",
    "number": "1922682202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 E ELM AVE STE 112",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481622678",
            "telephone_number": "734-242-4673",
            "fax_number": "734-242-4676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 E ELM AVE STE 112",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481622678",
            "telephone_number": "734-242-4673",
            "fax_number": "734-242-4676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHUKOFSKI",
        "first_name": "AMY",
        "middle_name": "R",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-12",
        "last_updated": "2022-08-09",
        "certification_date": "2022-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801109628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "ROOT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Monroe, MI

Sources for this page

Verify at the official NPI Registry.