Individual provider Active NPI

Amy M Earnheart, LCSW

  • Clinical Social Worker
  • Burnsville, NC
National Provider Identifier
1023255122
Registry record updated Jul 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C005970 Issued in NC
Practice address
10 N Main St
Burnsville, NC 28714-2925
Phone
(828) 536-0391
Fax
(828) 682-2119
NPI assigned
Jan 11, 2009
Last updated
Jul 7, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 7, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 1476 NC
Clinical Social Worker 1041C0700X C005970 NC Primary

Addresses

Primary practice location

10 N Main St
Burnsville, NC 28714-2925

Mailing address

10 N Main St
Burnsville, NC 28714-2925
Phone (828) 208-4885

Other identifiers 1

IdentifierTypeStateIssuer
6007209MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20120605000003 NC Practitioner - Clinical Social Worker 1052575024 Practice locations: Burnsville, NC

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

10 N Main St
Burnsville, NC 28714-2925
Phone (828) 536-0391

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C005970NCMDClinical Social Worker
1476NCMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Reclaiming Presence, PLLC Addiction (Substance Use Disorder) Past Accepting new patients
Mountain Community Health Partnership Incorporated Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1231632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720310400000",
    "number": "1023255122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 N MAIN ST",
            "city": "BURNSVILLE",
            "state": "NC",
            "postal_code": "287142925",
            "telephone_number": "828-208-4885",
            "fax_number": "828-682-2119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 N MAIN ST",
            "city": "BURNSVILLE",
            "state": "NC",
            "postal_code": "287142925",
            "telephone_number": "828-536-0391",
            "fax_number": "828-682-2119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EARNHEART",
        "first_name": "AMY",
        "middle_name": "M",
        "name_prefix": "Miss",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-11",
        "last_updated": "2024-07-07",
        "certification_date": "2024-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "1476",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C005970",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6007209",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burnsville, NC

Sources for this page

Verify at the official NPI Registry.