Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Amberly Jean Mixon, APSW

Individual provider Social Worker · NPI 1407401771

Amberly Jean Mixon, APSW is a Clinical Social Worker in Beloit, Wisconsin. Qualified in 2014, 12 years ago. Practices with Enlightened Ways Therapy, LLC, a 4-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
12
Licensed in
WI
In the registry since
2019
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Practice location Address checks out

540 E Grand Ave
Beloit, WI 53511-6314
Phone: (608) 368-8087
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 130393 (WI)

Record details

NPI number1407401771
Entity typeIndividual (Type 1)
GenderFemale
Credentials APSW
Sole proprietorNo
NPI enumeratedAugust 5, 2019
Last updated in NPPESAugust 5, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Enlightened Ways Therapy, Llc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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