Active NPI
Amy C. Nicholson, LCSW
- Clinical Social Worker
- Asheville, NC
National Provider Identifier
1043389224
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C003684
- Practice address
- 1 Oak PLZ
Suite 206
Asheville, NC 28801-3008 - Phone
- (828) 252-2501
- Fax
- (828) 252-2701
- NPI assigned
- Nov 6, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | C003684 | NC | Primary |
Addresses
Primary practice location
1 Oak PLZ
Suite 206
Asheville, NC 28801-3008
Mailing address
1 Oak PLZ
Suite 206
Asheville, NC 28801-3008
Phone (828) 252-2501
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6003429 | Medicaid | NC | |
| 1308P | Other | NC | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C003684 | NC | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1043389224",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 OAK PLZ",
"address_2": "SUITE 206",
"city": "ASHEVILLE",
"state": "NC",
"postal_code": "288013008",
"telephone_number": "828-252-2501",
"fax_number": "828-252-2701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 OAK PLZ",
"address_2": "SUITE 206",
"city": "ASHEVILLE",
"state": "NC",
"postal_code": "288013008",
"telephone_number": "828-252-2501",
"fax_number": "828-252-2701"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NICHOLSON",
"first_name": "AMY",
"middle_name": "C.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C003684",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6003429",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "1308P",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Asheville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.