Amanda Fleishman Wilson, MSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

3002 Hope Valley Rd
Ste 204
Durham, NC 27707-3832

Phone

(919) 698-5284

NPI assigned

May 9, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477267200000",
    "number": "1235343237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3002 HOPE VALLEY RD",
            "address_2": "STE 204",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277073832",
            "telephone_number": "919-698-5284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3002 HOPE VALLEY RD",
            "address_2": "STE 204",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277073832",
            "telephone_number": "919-698-5284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLEISHMAN WILSON",
        "first_name": "AMANDA",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-09",
        "last_updated": "2016-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6106676",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ellen Marie Flanagan, MD
• Joy Brook Flanagan, PT, DPT
• Kirsten A Flanagan, DNP, CRNA
• Sean M Flanagan, PHARMD
• Amber Patricia Fleck
• Daniel Fleming
• Gregory A. Fleming, MD
• Leah Joy Poovey Fleming, PA-C
• Marshall Alexander Fleming
• Michael D. Fleming, D.D.S

• Clinical Social Worker in Durham, NC
• Providers in Durham, 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 Oct 24, 2016; 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.

Verify at the official NPI Registry.