AMY JEAN INMAN (LCSW) – Clinical Social Worker, NPI 1639427099

AMY JEAN INMAN (LCSW) is a healthcare provider. based in Kennett, Missouri. specializing in Clinical Social Worker. They hold the professional credentials LCSW. They hold a License No. 2017036045 (MO). The NPI Number for AMY JEAN INMAN (LCSW) is 1639427099

Main info

Female
Sole Proprietor
14 Years Of Experience
Accepts Medicare Assignment
Name
AMY JEAN INMAN (LCSW)
NPI
1639427099
Phone
(870) 838-5420
Address
103 S Main St Ste 2
Enumeration Date
16 August 2012
Last Update Date
25 July 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8709724828
Graduation Year
2012 (14 years ago)
PAC ID
8426319716
Group Practice PAC ID
0244130839
Professional Enrollment ID
I20180501000207
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:13State licenses:2Digital endpointsOther names

Provider Addresses for AMY JEAN INMAN (LCSW)

  • 103 S Main St Ste 2

    Kennett, MO 638573039

    Phone: (870) 838-5420

    Type: Location

  • 2012 STATE HIGHWAY F

    STEELE, MO 638778125

    Phone: (870) 838-5420

    Type: Mailing

  • 107 MEADOW PL

    STEELE, MO 638771303

    Phone: (870) 838-5420

    Type: Mailing

  • 1001 N WALNUT ST

    STEELE, MO 638771355

    Phone: (870) 838-5420

    Type: Location

  • 533 W WASHINGTON AVE

    JONESBORO, AR 724012782

    Phone: (870) 972-4939

    Fax: (870) 972-4911

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2018-05-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20180301001142IClinical Social WorkerMOTBD
I20180501000207IClinical Social WorkerARTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 63857)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0244130839View full group profile

Reviews

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Frequently asked questions

What is the registry number for AMY JEAN INMAN (LCSW)?
The registry entry for AMY JEAN INMAN (LCSW) shows NPI 1639427099.
Should I treat AMY JEAN INMAN (LCSW) as an active provider?
Patients and plans typically see AMY JEAN INMAN (LCSW) as active in the national extract.
What type of care does AMY JEAN INMAN (LCSW) provide?
AMY JEAN INMAN (LCSW)'s profile centers on Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Which community is linked to AMY JEAN INMAN (LCSW)?
AMY JEAN INMAN (LCSW) shows a connection to Kennett, Missouri in registry-derived data.
Can I export AMY JEAN INMAN (LCSW)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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