Individual provider Active NPI

Amonie E Greene

  • Clinical Social Worker
  • Charlotte, NC
National Provider Identifier
1194393751
Registry record updated Mar 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
537 W Sugar Creek Rd Ste 102
Charlotte, NC 28213-6102
Phone
(980) 299-1023
NPI assigned
Jun 11, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 14, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X C018078 NC
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

537 W Sugar Creek Rd Ste 102
Charlotte, NC 28213-6102

Mailing address

7707 Coffey Creek Dr
Charlotte, NC 28273-3112

Other practice location 1

7707 Coffey Creek Dr
Charlotte, NC 28273-3112
Phone (704) 707-6964

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, VT2 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
I20250529001651 NC Practitioner - Clinical Social Worker 6406375716 Reassigns benefits to 2 organizations
I20260407004086 VT Practitioner - Clinical Social Worker 6406375716 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)

66 E Flagler St
Miami, FL 33130-1807

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C018078NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Medtrac Solutions Clinical CurrentSince Apr 20, 2025 Accepting new patients
Grow Healthcare Group PA Clinical CurrentSince Apr 16, 2025 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

537 W Sugar Creek Rd
Ste 102
Charlotte, NC 28213
Phone (704) 819-6212

3511 Shannon Rd
Fl 3
Durham, NC 27707
Phone (201) 293-7689

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": "1623369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741910400000",
    "number": "1194393751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7707 COFFEY CREEK DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282733112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "537 W SUGAR CREEK RD STE 102",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282136102",
            "telephone_number": "980-299-1023"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7707 Coffey Creek Dr",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282733112",
            "country_code": "US",
            "telephone_number": "704-707-6964",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREENE",
        "first_name": "AMONIE",
        "middle_name": "E",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-11",
        "last_updated": "2025-03-14",
        "certification_date": "2025-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C018078",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.