Individual provider Active NPI

Amy Dawn Wright, MSW, LCSWA

  • Clinical Social Worker
  • Chapel Hill, NC
National Provider Identifier
1417523739
Registry record updated May 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
P016214 Issued in NC
Practice address
314 Cloister CT
Chapel Hill, NC 27514-2276
Phone
(919) 514-3566
Fax
(919) 516-0057
NPI assigned
May 27, 2021
Last updated
May 27, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2021

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 P016214 NC Primary

Addresses

Primary practice location

314 Cloister CT
Chapel Hill, NC 27514-2276

Mailing address

1100 W NC Highway 54 Byp Apt 63
Chapel Hill, NC 27516-2890
Phone (919) 995-2262

Other identifiers 2

IdentifierTypeStateIssuer
1528563194OtherNCGROUP NPI FOR THREE OAKS BEHAVIORAL HEALTH & WELLNESS
P016214OtherNCNC SOCIAL WORK CERTIFICATION AND LICENSURE BOARD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
P016214NCMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1622073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622073600000",
    "number": "1417523739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 W NC HIGHWAY 54 BYP APT 63",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275162890",
            "telephone_number": "919-995-2262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 CLOISTER CT",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275142276",
            "telephone_number": "919-514-3566",
            "fax_number": "919-516-0057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "AMY",
        "middle_name": "DAWN",
        "credential": "MSW, LCSWA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-27",
        "last_updated": "2021-05-27",
        "certification_date": "2021-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P016214",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI FOR THREE OAKS BEHAVIORAL HEALTH & WELLNESS",
            "identifier": "1528563194",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC SOCIAL WORK CERTIFICATION AND LICENSURE BOARD",
            "identifier": "P016214",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chapel Hill, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.