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MRS. AMY LYNETTE WITHAM MSW
NPI 1598938573
Social Worker in Fort Dodge, IA

Active since April 10, 2008PECOS Enrolled
720 KENYON RD, FORT DODGE, IA 50501(515) 955-7171(515) 573-7898 Get Directions Write a Review

NPPES record last updated: March 17, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mrs. Amy Lynette Witham Msw NPPES

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

MRS. AMY LYNETTE WITHAM MSW (NPI 1598938573) is an individual social worker in Fort Dodge, Iowa, licensed in Iowa (127428) and active in the NPI registry since April 2008. She is enrolled in Medicare PECOS and is a graduate of Other (2007).

NPPES Registry Identity

NPI1598938573
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameMRS. AMY LYNETTE WITHAMCredential: MSW
Location Address720 KENYON RDFort Dodge, IA 50501-5787
Mailing Address1661 N 30th StFort Dodge, IA 50501-7941 · (785) 230-4130
Phone(515) 955-7171
Fax(515) 573-7898
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateApril 10, 2008
Last NPPES UpdateMarch 17, 2026
NPPES CertifiedMarch 17, 2026
✔ NPI 1598938573 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 IA · 127428
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.
720 KENYON RD, Fort Dodge, IA 50501
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Amy Lynette Witham Msw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4688109317
PECOS Enrollment IDI20241119000701
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.

Medicare Billing Reassignment

Medicare enrollment records show Amy Witham reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

North Central Iowa Mental Health Center Inc
Same address
Mental Health (Including Community Mental Health Center)
720 KENYON RD
Fort Dodge, IA 50501
  • Reassigned Medicare billing, Iowa enrollment
  • 24 clinicians in this Medicare group
NPI 1801635404 (515) 955-7171

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

KATELYN HOFBAUER
Counselor (Mental Health)
720 KENYON RD
FORT DODGE, IA 50501
Webster County (800) 482-8305
EMILY ANDERSON LMHC
Counselor (Mental Health)
720 KENYON RD
FORT DODGE, IA 50501
Webster County (800) 482-8305
JOETTE LYNN KOFOOT LMSW
Social Worker (Clinical)
720 KENYON RD
FORT DODGE, IA 50501
Webster County (515) 955-7171
KATHY M KHOMMANYVONG LMSW
Social Worker (Clinical)
720 KENYON RD, NORTH CENTRAL IOWA MHC DBA BERRYHILL CENTER FOR MENTAL
FORT DODGE, IA 50501
Webster County (515) 955-7171
DEBRA K DELP RN
Registered Nurse (Psychiatric/Mental Health, Adult)
720 KENYON RD
FORT DODGE, IA 50501
Webster County (515) 955-7171
TENAEA MARIE JEPPESON PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
720 KENYON RD
FORT DODGE, IA 50501
Webster County (515) 955-7171
DR. MARY CHRISTINE SEGRETO D.O.
Psychiatry & Neurology (Psychiatry)
720 KENYON RD, NORTH CENTRAL IOWA MENTAL HEALTH CENTER INC DBA UNITYPO
FORT DODGE, IA 50501
Webster County (515) 955-7171
MRS. LORI J OHRT LISW
Social Worker (Clinical)
720 KENYON RD, NORTH CENTRAL IOWA MENTAL HEALTH CENTER INC DBA UNITYPO
FORT DODGE, IA 50501
Webster County (515) 955-7171

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amy Witham's NPI number?

The NPI number for Amy Witham is 1598938573. It was assigned to this individual provider in the NPPES registry on April 10, 2008.

Where is Amy Witham located?

Amy Witham practices at 720 Kenyon Rd, Fort Dodge, IA 50501. The listed phone number is (515) 955-7171.

What is Amy Witham's specialty?

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

Is Amy Witham enrolled in Medicare?

Yes. Amy Witham is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Amy Witham's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amy Witham reassigns Medicare benefits to North Central Iowa Mental Health Center Inc (Fort Dodge, IA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Amy Witham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Amy Witham was last updated on March 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.