Individual provider Active NPI

Amy M. Leach, LCSW

  • Clinical Social Worker
  • Chapel Hill, NC
National Provider Identifier
1376697425
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C006366 Issued in NC
Practice address
Campus Health Services
Campus Box 7470
Chapel Hill, NC 27599-7470
Phone
(919) 966-3658
Fax
(919) 966-4605
NPI assigned
Jan 23, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 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 C006366 NC Primary

Addresses

Primary practice location

Campus Health Services
Campus Box 7470
Chapel Hill, NC 27599-7470

Mailing address

308 Fleming Dr
Durham, NC 27712-3224
Phone (919) 328-0010

Other practice location 1

2009 Chapel Hill Rd
Durham, NC 27707-1109
Phone (919) 328-0010

Other identifiers 1

IdentifierTypeStateIssuer
6007721MedicaidNC

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
I20230531003302 NC Practitioner - Clinical Social Worker 0446617732 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of North Carolina at Chapel Hill School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Avance Care PAGroup PAC ID 3577634476, 244 clinicians

Practice addresses (Care Compare)

1512 E Franklin St
Suite 100
Chapel Hill, NC 27514-2816
Phone (919) 240-7269

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C006366NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Avance Care, PA CurrentSince May 1, 2023 Accepting new patients
Campus Health Services Past Accepting new patients

Locations

1512 E Franklin St
Ste 100
Chapel Hill, NC 27514
Phone (919) 240-7269

4705 University Dr
Bldg 700
Durham, NC 27707
Phone (919) 237-1337

7510 Ramble Way
Ste 107
Raleigh, NC 27616
Phone (919) 277-8880

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.

NPI Registry JSON

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1376697425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 FLEMING DR",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277123224",
            "telephone_number": "919-328-0010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CAMPUS HEALTH SERVICES",
            "address_2": "CAMPUS BOX 7470",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275997470",
            "telephone_number": "919-966-3658",
            "fax_number": "919-966-4605"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2009 Chapel Hill Rd",
            "address_purpose": "LOCATION",
            "city": "Durham",
            "state": "NC",
            "postal_code": "277071109",
            "country_code": "US",
            "telephone_number": "919-328-0010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEACH",
        "first_name": "AMY",
        "middle_name": "M.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-23",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C006366",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6007721",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chapel Hill, NC

Sources for this page

Verify at the official NPI Registry.