Amy Beth Van de Motter, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C007753 Issued in NC

Practice address

1115 E Morehead St
Charlotte, NC 28204-2886

Phone

(979) 670-4584

NPI assigned

Oct 19, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1287446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694390400000",
    "number": "1063722494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 DIXIE AVE",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284034507",
            "telephone_number": "434-960-6292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 E MOREHEAD ST",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282042886",
            "telephone_number": "979-670-4584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN DE MOTTER",
        "first_name": "AMY",
        "middle_name": "BETH",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-19",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C007753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vladislav Valtsis, D.O.
• Valued Home Care LLC
• Hernan Valverde
• Rachel Kelly Van Buren
• Ciara T Van de Merlen
• Michel McClamrock Van Devender, MSW, LCSW
• Maria Araceli Van Dyke, LCMHC
• Susannah Bauer Van Dyke, NP
• Sandy Charles Van Every, PA-C
• John Ronald Van Gurp, M.D.

• Clinical Social Worker in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.