AMBERLY JEAN MIXON APSW
NPI 1407401771
Social Worker in Beloit, WI

Q: What is Amberly Mixon's NPI number?

The NPI number for Amberly Mixon is 1407401771. It was assigned to this individual provider in the NPPES registry on August 5, 2019.

Q: What is Amberly Mixon's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Q: When was this NPI record last updated?

The NPPES record for Amberly Mixon was last updated on August 5, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 05, 2019PECOS EnrolledAccepts Medicare Assignment

540 E GRAND AVE, BELOIT, WI 53511(608) 368-8087 Get Directions Write a Review

NPPES record last updated: August 5, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Amberly Jean Mixon Apsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMBERLY JEAN MIXON APSW (NPI 1407401771) is an individual social worker in Beloit, Wisconsin, licensed in Wisconsin (130393) and active in the NPI registry since August 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1407401771

Entity TypeIndividualFemale

Primary Taxonomy104100000X

Provider Legal NameAMBERLY JEAN MIXONCredential: APSW

Location Address540 E GRAND AVEBeloit, WI 53511-6314

Mailing Address3766 Redstone DrJanesville, WI 53548-5839 · (608) 346-8843

Phone(608) 368-8087

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateAugust 5, 2019

✔ NPI 1407401771 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers

Taxonomy Code104100000X

License✔ Licensed in WI · 130393

Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

540 E GRAND AVE, Beloit, WI 53511

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Medica, MercyCare Health Plans and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Amberly Jean Mixon Apsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1850762766

PECOS Enrollment IDI20230131002656

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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