Active NPI
Amy Nichole Scrimpsher, MSW
- Social Worker
- Decatur, IL
National Provider Identifier
1942581673
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 151 N Main St
Decatur, IL 62523-1206 - Phone
- (217) 362-6262
- Fax
- (217) 362-6291
- NPI assigned
- Sep 8, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
151 N Main St
Decatur, IL 62523-1206
Mailing address
3226 Desert Inn Rd
Decatur, IL 62526-9439
Phone (217) 201-1656
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1315440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1315440000000",
"number": "1942581673",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3226 DESERT INN RD",
"city": "DECATUR",
"state": "IL",
"postal_code": "625269439",
"telephone_number": "217-201-1656"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "151 N MAIN ST",
"city": "DECATUR",
"state": "IL",
"postal_code": "625231206",
"telephone_number": "217-362-6262",
"fax_number": "217-362-6291"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCRIMPSHER",
"first_name": "AMY",
"middle_name": "NICHOLE",
"credential": "MSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-09-08",
"last_updated": "2011-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Decatur, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.