Active NPI
Amy Love, LCSW
- Clinical Social Worker
- Fayetteville, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C010645
- Practice address
- 6321 Raeford Rd
Fayetteville, NC 28304-2810 - Phone
- (910) 485-6336
- NPI assigned
- Jan 20, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | C010645 | NC | Primary |
Addresses
Primary practice location
6321 Raeford Rd
Fayetteville, NC 28304-2810
Mailing address
PO Box 1613
Raeford, NC 28376-1613
Phone (910) 309-8053
Other practice location 1
1318 Raeford Rd
Suite 2
Fayetteville, NC 28305-5482
Phone (910) 485-6336
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
6321 Raeford Rd
Fayetteville, NC 28304-2810
Phone (910) 485-6336
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C010645 | NC | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premeditated Prosperity Counseling and Consulting Services, PLLC | Current | Accepting new patients | |
| Verna Dority, MSW, CCSW, Inc | Clinical | Current | Accepting new patients |
Locations
6321 Raeford Rd
Fayetteville, NC 28304
Phone (910) 644-0051
602 E Academy St
Ste 103
Fuquay Varina, NC 27526
Phone (910) 762-3185
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.
-
- Community/Behavioral Health Agency
- Raeford, NC
- NPI 1801753371
-
- Community/Behavioral Health Agency
- Fayetteville, NC
- NPI 1396984225
Clinical
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1421712000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613952000000",
"number": "1275922932",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1613",
"city": "RAEFORD",
"state": "NC",
"postal_code": "283761613",
"telephone_number": "910-309-8053"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6321 RAEFORD RD",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283042810",
"telephone_number": "910-485-6336"
}
],
"practiceLocations": [
{
"address_1": "1318 Raeford Rd",
"address_2": "Suite 2",
"address_purpose": "LOCATION",
"city": "Fayetteville",
"state": "NC",
"postal_code": "283055482",
"country_code": "US",
"telephone_number": "910-485-6336",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LOVE",
"first_name": "AMY",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-01-20",
"last_updated": "2021-02-22",
"certification_date": "2021-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C010645",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fayetteville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2021; 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.