Individual provider Active NPI

Amanda Lieberman Kenney, MSW, LCSW

  • Clinical Social Worker
  • Raleigh, NC
National Provider Identifier
1083273494
Registry record updated Jan 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C015373 Issued in NC
Practice address
189 Wind Chime CT Ste 202
Raleigh, NC 27615-6480
Phone
(252) 651-3537
Fax
(919) 551-7484
NPI assigned
Jun 10, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X P013852 NC
Clinical Social Worker 1041C0700X C015373 NC Primary

Addresses

Primary practice location

189 Wind Chime CT Ste 202
Raleigh, NC 27615-6480

Mailing address

189 Wind Chime CT Ste 202
Raleigh, NC 27615-6480
Phone (910) 994-7130

Other identifiers 1

IdentifierTypeStateIssuer
1083273494MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 7, 2024 through Jan 7, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
C015373NCMDClinical Social Worker
P013852NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Moonrise Pathways, PLLC Clinical Current Accepting new patients
New Leaf Behavioral Health Clinical PastSince Oct 1, 2019 Accepting new patients
New Leaf Behavioral Health PastSince Oct 1, 2019 Accepting new patients

Locations

189 Wind Chime Ct
Ste 202
Raleigh, NC 27615
Phone (919) 307-1847

Organizations & group practices 3

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": "1560124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769558400000",
    "number": "1083273494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "189 WIND CHIME CT STE 202",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276156480",
            "telephone_number": "910-994-7130",
            "fax_number": "919-551-7484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "189 WIND CHIME CT STE 202",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276156480",
            "telephone_number": "252-651-3537",
            "fax_number": "919-551-7484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIEBERMAN KENNEY",
        "first_name": "AMANDA",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-10",
        "last_updated": "2026-01-28",
        "certification_date": "2026-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P013852",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C015373",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1083273494",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.