Individual provider Active NPI

Amy Michelle Coleman-Kirkman, LICSW

  • Clinical Social Worker
  • Muscle Shoals, AL
National Provider Identifier
1962086603
Registry record updated Feb 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
4715C Issued in AL
Practice address
1904 Woodside
Muscle Shoals, AL 35661
Phone
(256) 320-9004
NPI assigned
May 10, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 11, 2024

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 4715C AL Primary

Addresses

Primary practice location

1904 Woodside
Muscle Shoals, AL 35661

Mailing address

1904 Woodside
Muscle Shoals, AL 35661
Phone (256) 320-9004

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20210820000313 AL Practitioner - Clinical Social Worker 3870998412 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Thrive Counseling LLCGroup PAC ID 0749458420, 1,187 clinicians

Practice addresses (Care Compare)

2315 9TH St
Suite 4B
Tuscaloosa, AL 35401-2378
Phone (855) 284-7483

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4715CALMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Counseling LLC CurrentSince Aug 4, 2021 Accepting new patients
Remedy Behavioral Health, LLC CurrentSince Jun 22, 2022 Accepting new patients
Shoals NP Homecare, LLC Current Accepting new patients

Locations

1609 Mockingbird Ct
Ste B
Florence, AL 35630
Phone (256) 320-7778

1101 McMurtrie Dr NW
Ste C3
Huntsville, AL 35806
Phone (334) 500-4245

1001 S Jackson Hwy
Sheffield, AL 35660
Phone (256) 320-7778

2315 9th St
Ste 4B
Tuscaloosa, AL 35401

1000 Jefferson St
Ste 2C
Lynchburg, VA 24504
Phone (434) 528-3263

Organizations & group practices 3

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": "1620604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707609600000",
    "number": "1962086603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1904 WOODSIDE",
            "city": "MUSCLE SHOALS",
            "state": "AL",
            "postal_code": "35661",
            "telephone_number": "256-320-9004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1904 WOODSIDE",
            "city": "MUSCLE SHOALS",
            "state": "AL",
            "postal_code": "35661",
            "telephone_number": "256-320-9004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLEMAN-KIRKMAN",
        "first_name": "AMY",
        "middle_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-10",
        "last_updated": "2024-02-11",
        "certification_date": "2024-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AL",
            "license": "4715C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Muscle Shoals, AL

Sources for this page

Verify at the official NPI Registry.