Amy Lissette Vance Rico

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P022667 Issued in NC

Practice address

8396 Six Forks Rd Ste 102
Raleigh, NC 27615-3058

Phone

(919) 576-0390

NPI assigned

Jul 14, 2026

Sex

Female

Sole proprietor

No

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

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

{
    "created_epoch": "1783987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783987200000",
    "number": "1124947189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2217 CANTERBURY DR",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272154524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8396 SIX FORKS RD STE 102",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276153058",
            "telephone_number": "919-576-0390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANCE RICO",
        "first_name": "AMY",
        "middle_name": "LISSETTE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-07-14",
        "last_updated": "2026-07-14",
        "certification_date": "2026-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P022667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Ryan Van, PSY.D.
• Jagriti Vanam, DDS
• Jill C Vanarthos, PA
• William James Vanarthos, M.D.
• Joana Hermina Vanboven, PA-S
• Kayla Marie Vance, LCMHCA
• Lindsay Vandenbroeck
• Olivia Vanderhoff, LCASA
• Carin Michelle Vanderklok, DVM
• Trisha Noel Vanderploeg, PNP

• Clinical Social Worker in Raleigh, NC
• Providers in Raleigh, 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 Jul 14, 2026; 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.