Individual provider Active NPI

Nathan Tucker Brunson, LCSW

  • Clinical Social Worker
  • Raleigh, NC
National Provider Identifier
1437635018
Registry record updated May 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
P012735 Issued in NC
Practice address
4000 Wake Forest Rd Ste 200
Raleigh, NC 27609-6859
Phone
(213) 455-5033
Fax
(888) 988-1786
NPI assigned
Jul 17, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2026

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 P012735 NC Primary

Addresses

Primary practice location

4000 Wake Forest Rd Ste 200
Raleigh, NC 27609-6859

Mailing address

67 Willow Way
Chapel Hill, NC 27516-9469
Phone (213) 455-5033

Other practice location 1

301 S McDowell St Ste 320
Charlotte, NC 28204-2657
Phone (213) 455-5033

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
I20260601001491 NC Practitioner - Clinical Social Worker 1254801152 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, 2018
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3061 Fillmore St
San Francisco, CA 94123-4009

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P012735NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Amae Health Medical Associates North Carolina, P.C. CurrentSince Apr 21, 2026 Accepting new patients
Amae Health Medical Associates, PC PastSince Apr 21, 2026 Accepting new patients

Locations

301 S McDowell St
Ste 320
Charlotte, NC 28204
Phone (984) 205-5840

4000 Wake Forest Rd
Ste 200
Raleigh, NC 27609
Phone (919) 865-8710

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": "1531785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779321600000",
    "number": "1437635018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 WILLOW WAY",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275169469",
            "telephone_number": "213-455-5033",
            "fax_number": "888-988-1786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 WAKE FOREST RD STE 200",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276096859",
            "telephone_number": "213-455-5033",
            "fax_number": "888-988-1786"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 S McDowell St Ste 320",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282042657",
            "country_code": "US",
            "telephone_number": "213-455-5033",
            "fax_number": "888-988-1786",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRUNSON",
        "first_name": "NATHAN",
        "middle_name": "TUCKER",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-17",
        "last_updated": "2026-05-21",
        "certification_date": "2026-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P012735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.