Active NPI
Amanda Reiter, LCSW
- Clinical Social Worker
- Jacksonville, NC
National Provider Identifier
1134826142
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C019026
- Practice address
- 3701 Henderson Dr
Jacksonville, NC 28546-5237 - Phone
- (910) 939-0798
- NPI assigned
- Feb 9, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | P018629 | NC | |
| Clinical Social Worker | 1041C0700X | C019026 | NC | Primary |
Addresses
Primary practice location
3701 Henderson Dr
Jacksonville, NC 28546-5237
Mailing address
3701 Henderson Dr
Jacksonville, NC 28546-5237
Other practice location 1
2740 Nc 55 Hwy # 210
Cary, NC 27519-6209
Phone (919) 888-9158
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C019026 | NC | MD | Clinical Social Worker |
| P018629 | NC | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1675900800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758499200000",
"number": "1134826142",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3701 HENDERSON DR",
"city": "JACKSONVILLE",
"state": "NC",
"postal_code": "285465237"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3701 HENDERSON DR",
"city": "JACKSONVILLE",
"state": "NC",
"postal_code": "285465237",
"telephone_number": "910-939-0798"
}
],
"practiceLocations": [
{
"address_1": "2740 Nc 55 Hwy # 210",
"address_purpose": "LOCATION",
"city": "Cary",
"state": "NC",
"postal_code": "275196209",
"country_code": "US",
"telephone_number": "919-888-9158",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "REITER",
"first_name": "AMANDA",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-02-09",
"last_updated": "2025-09-22",
"certification_date": "2025-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "P018629",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C019026",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, NC
- Regional Health Diagnostics Inc
- James Edward Reid, M.D.
- Angeline Reiling
- Erin Reimann, LCSW
- Rebecca Marie Reine, CNM
- Erica Lynn Ann Reiter, SFIDC
- Reliable Prosthetics and Orthotics LLC
- Resolutions Counseling and Mediation Services, PLLC
- Reviving Wellness and Mental Health, PLLC
- Kayriz Reyes Rodriguez
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.