Individual provider Active NPI

Amirah Caresse Saintyl, LCSWA

  • Clinical Social Worker
  • Raleigh, NC
National Provider Identifier
1154068997
Registry record updated Aug 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
P016634 Issued in NC
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

Updated by the provider on Aug 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://www.carolinaoutreach.com/raleigh

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20260218001959 NC Practitioner - Mental Health Counselor 8729568647 Reassigns benefits to 1 organization
I20260311000696 NC Practitioner - Clinical Social Worker 8729568647 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
P016634NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Outreach, LLC Clinical CurrentSince Dec 23, 2025 Accepting new patients
Carolina Outreach, LLC Clinical CurrentSince Dec 23, 2025 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.

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

Verify at the official NPI Registry.