Individual provider Active NPI

Amanda Almodovar

  • Clinical Social Worker
  • Cary, NC
National Provider Identifier
1356997001
Registry record updated Apr 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C013615 Issued in NC
Practice address
400 Woodland CT
Cary, NC 27511-4537
Phone
(919) 229-9012
NPI assigned
Aug 16, 2019
Last updated
Apr 21, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2025

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 C013615 NC Primary

Addresses

Primary practice location

400 Woodland CT
Cary, NC 27511-4537

Mailing address

4963 Mount Vernon Church Rd
Burlington, NC 27217-7585
Phone (336) 264-2105

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
I20250609000129 NC Practitioner - Clinical Social Worker 0446760516 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kildaire Counseling PLLCGroup PAC ID 5395262919, 5 clinicians

Practice addresses (Care Compare)

400 Woodland CT
Cary, NC 27511-4537
Phone (919) 229-2019

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C013615NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Kildaire Counseling PLLC Clinical CurrentSince May 28, 2025 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1565913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745193600000",
    "number": "1356997001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4963 MOUNT VERNON CHURCH RD",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272177585",
            "telephone_number": "336-264-2105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 WOODLAND CT",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275114537",
            "telephone_number": "919-229-9012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALMODOVAR",
        "first_name": "AMANDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-16",
        "last_updated": "2025-04-21",
        "certification_date": "2025-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C013615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

Verify at the official NPI Registry.