Individual provider Active NPI

Amy Michelle McIntyre, LICSW

  • Clinical Social Worker
  • Anacortes, WA
National Provider Identifier
1952823148
Registry record updated May 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
61675764 Issued in WA
Practice address
2511 M Ave Ste G
Anacortes, WA 98221-3897
Phone
(360) 299-4297
NPI assigned
Jul 10, 2017
Last updated
May 1, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 1, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCSW36685 ID
Clinical Social Worker 1041C0700X 00992836 CO
Clinical Social Worker 1041C0700X 61675764 WA Primary

Addresses

Primary practice location

2511 M Ave Ste G
Anacortes, WA 98221-3897

Mailing address

726 SW Puffin St
Oak Harbor, WA 98277-7224
Phone (720) 442-2007

Other names 1

  • Amy Michelle Jenkins Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20250625003655 WA Practitioner - Clinical Social Worker 1052823861 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of Oklahoma College of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2511 M Ave
Suite B
Anacortes, WA 98221-3897
Phone (360) 299-4211

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
00992836COMDClinical Social Worker
LCSW36685IDMDClinical Social Worker
61675764WAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Public Hospital District No 2 Skagit County Washington CurrentSince Jun 13, 2025 Accepting new patients
Public Hospital District No 2 Skagit County Washington CurrentSince Jun 13, 2025 Accepting new patients
Public Hospital District No 2 Skagit County Washington Current Accepting new patients
Public Hospital District No 2 Skagit County Washington Current Accepting new patients
Innercept PastSince May 28, 2023 Accepting new patients

Locations

1211 24th St
Anacortes, WA 98221
Phone (360) 293-3181

2511 M Ave
Ste B
Anacortes, WA 98221
Phone (360) 293-3101

7 Deye Ln
Eastsound, WA 98245
Phone (360) 293-3101

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": "1499644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746057600000",
    "number": "1952823148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "726 SW PUFFIN ST",
            "city": "OAK HARBOR",
            "state": "WA",
            "postal_code": "982777224",
            "telephone_number": "720-442-2007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2511 M AVE STE G",
            "city": "ANACORTES",
            "state": "WA",
            "postal_code": "982213897",
            "telephone_number": "360-299-4297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCINTYRE",
        "first_name": "AMY",
        "middle_name": "MICHELLE",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-10",
        "last_updated": "2025-05-01",
        "certification_date": "2025-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": "LCSW36685",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "00992836",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "61675764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "JENKINS",
            "middle_name": "MICHELLE",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Anacortes, WA

Sources for this page

Verify at the official NPI Registry.