Active NPI
Amirah Caresse Saintyl, LCSWA
- Clinical Social Worker
- Raleigh, NC
National Provider Identifier
1154068997
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- P016634
- Practice address
- 3012 Falstaff Rd
Raleigh, NC 27610-1813 - Phone
- (919) 615-1027
- Fax
- (919) 615-1501
- NPI assigned
- May 13, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | P016634 | NC | Primary |
Addresses
Primary practice location
3012 Falstaff Rd
Raleigh, NC 27610-1813
Mailing address
3222 Enchanting Way
Raleigh, NC 27616-8372
Phone (862) 452-0057
Other names 1
- Ms. Amirah Caresse Culver
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | https://www.carolinaoutreach.com/raleigh |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2021
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
2670 Durham Chapel Hill Blvd
Durham, NC 27707-2829
3222 Enchanting Way
Raleigh, NC 27616-8372
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P016634 | NC | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carolina Outreach, LLC | Clinical | Current | Accepting new patients |
| Carolina Outreach, LLC | Clinical | Current | Accepting new patients |
Locations
2670 Durham Chapel Hill Blvd
Durham, NC 27707
Phone (919) 251-9009
3012 Falstaff Rd
Raleigh, NC 27610
Phone (919) 424-6647
Organizations & group practices 2
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.
-
- Clinical Social Worker
- Durham, NC
- NPI 1083723266
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1652400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661731200000",
"number": "1154068997",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3222 ENCHANTING WAY",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276168372",
"telephone_number": "862-452-0057"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3012 FALSTAFF RD",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276101813",
"telephone_number": "919-615-1027",
"fax_number": "919-615-1501"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAINTYL",
"first_name": "AMIRAH",
"middle_name": "CARESSE",
"name_prefix": "Mrs.",
"credential": "LCSWA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-05-13",
"last_updated": "2022-08-29",
"certification_date": "2022-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "P016634",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "https://www.carolinaoutreach.com/raleigh",
"affiliation": "N",
"endpointDescription": "Website address",
"address_1": "3012 Falstaff Rd",
"city": "Raleigh",
"state": "NC",
"country_code": "US",
"postal_code": "276101813",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "AMIRAH",
"last_name": "CULVER",
"middle_name": "CARESSE",
"prefix": "MS.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.