Amanda A Harwell, LCSW, LCAS-A, MPH

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C009386 Issued in NC

Practice address

107 Sunnybrook Rd
Raleigh, NC 27610-1827

Phone

(919) 212-9397

Fax

(919) 212-9451

NPI assigned

Aug 26, 2013

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1377475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1184058257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "906 CULPEPPER LN",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276101710",
            "telephone_number": "919-987-7817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 SUNNYBROOK RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276101827",
            "telephone_number": "919-212-9397",
            "fax_number": "919-212-9451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARWELL",
        "first_name": "AMANDA",
        "middle_name": "A",
        "credential": "LCSW, LCAS-A, MPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-26",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P007909",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C009386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jocelyn Harvey
• Kyatta Shontric Harvey, LCSW
• Minda Harvey, PTA
• Ricardo Harvey
• John Christopher Harville II, NP
• Alexis Lyn Harwood, OTR/L
• Teresa Joy Harwood, LPC
• Lisa Birl Hasan, PA
• Sania Hasan, CCC-SLP
• Kendall S Hash, MD

• 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 21, 2022; 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.