Active NPI
Nathan Tucker Brunson, LCSW
- Clinical Social Worker
- Raleigh, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- P012735
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| P012735 | NC | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Amae Health Medical Associates North Carolina, P.C. | Current | Accepting new patients | |
| Amae Health Medical Associates, PC | Past | 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.
-
- Psychiatry Physician
- Raleigh, NC
- NPI 1336920644
-
- Adult Mental Health Clinic/Center
- Los Angeles, CA
- NPI 1346958295
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.