Amy Ray Siverd, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C010951 Issued in NC

Practice address

3021 Senna Dr Ste B
Matthews, NC 28105-6727

Phone

(704) 443-0144

NPI assigned

Jul 2, 2015

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

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Walgren Counseling, PLLC

  • Clinical Social Worker
  • Matthews, NC
  • NPI 1235422742
  Medicare reassignment NPD
• Carolina Parenting Solutions, PLLC

  • Clinical Social Worker
  • Charlotte, NC
  • NPI 1265611271
  NPD (past)

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

{
    "created_epoch": "1435795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668643200000",
    "number": "1285017657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2329 WEDGEWOOD DR",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281049253",
            "telephone_number": "704-718-8657",
            "fax_number": "877-735-8447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3021 SENNA DR STE B",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281056727",
            "telephone_number": "704-443-0144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIVERD",
        "first_name": "AMY",
        "middle_name": "RAY",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-02",
        "last_updated": "2022-11-17",
        "certification_date": "2022-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P009817",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C010951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christy Walker Simpson, PHARMD
• Jasmine Sinclair
• Meredith Sinclair
• Brandi Singleton, PT, DPT, CCI
• Lunar Singsomphone
• Wendy Cherelle Skenderi, LPC
• Janet Hunter Skidmore, PA-C
• Josh Slabinski
• Shannon V Slauson, M.A., LMFT
• Lillian Sliwoski, NP

• Clinical Social Worker in Matthews, NC
• Providers in Matthews, 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 Nov 17, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.