Individual provider Active NPI

Amber Glasco Dillard, LCSW

  • Clinical Social Worker
  • Boone, NC
National Provider Identifier
1245288828
Registry record updated Dec 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C005262 Issued in NC
Practice address
3505 Bamboo Rd
Boone, NC 28607-9673
Phone
(336) 902-4022
NPI assigned
May 5, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 15, 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 C005262 NC Primary

Addresses

Primary practice location

3505 Bamboo Rd
Boone, NC 28607-9673

Mailing address

PO Box 664
Millers Creek, NC 28651-0664
Phone (828) 295-2241

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060724000245 NC Practitioner - Clinical Social Worker 6406869155 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Upward Call Counseling PLLCGroup PAC ID 7517306814, 5 clinicians

Practice addresses (Care Compare)

6623 Ruth Ferrell CT
Charlotte, NC 28269-2855
Phone (980) 293-1995

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C005262NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Clinical CurrentSince Sep 3, 2025 Accepting new patients
Upward Call Counseling PLLC Clinical CurrentSince Mar 30, 2025 Accepting new patients
New River Service Authority Past Accepting new patients
New River Service Authority Past Accepting new patients
New River Mental Health Center Clinical Past Accepting new patients
Jodi Province Counseling Services PLLC PastSince Jul 25, 2019 Accepting new patients

Locations

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

Organizations & group practices 6

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": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671062400000",
    "number": "1245288828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 664",
            "city": "MILLERS CREEK",
            "state": "NC",
            "postal_code": "286510664",
            "telephone_number": "828-295-2241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3505 BAMBOO RD",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286079673",
            "telephone_number": "336-902-4022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DILLARD",
        "first_name": "AMBER",
        "middle_name": "GLASCO",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-05",
        "last_updated": "2022-12-15",
        "certification_date": "2022-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C005262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boone, NC

Sources for this page

Verify at the official NPI Registry.