Amanda Kate Barnhardt, LCSW

Individual provider Active NPI Clinical Social Worker · Raleigh, NC

NPI 1104075886 · NPPES record last updated Nov 23, 2010

Key facts

NPI
1104075886
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
C006940 (NC)
Practice address
5704 Magellan Way
Apartment 301
Raleigh, NC 27612-2258
Phone
(336) 613-2678
NPI assigned
Sep 17, 2008
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
C006940NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Veritas Collaborative, LLC Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X C006940 NC Yes

Addresses

Primary practice location

5704 Magellan Way
Apartment 301
Raleigh, NC 27612-2258

Mailing address

5704 Magellan Way
Apartment 301
Raleigh, NC 27612-2258
Phone (336) 613-2678

Other providers in Raleigh, NC

All providers in Raleigh, NC · Clinical Social Worker in North Carolina

Sources for this page

Verify at the official NPI Registry.