Nicole Amundsen, LCSW, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C004599 Issued in NC

Practice address

1829 E Franklin St
Suite 900-B
Chapel Hill, NC 27514-5861

Phone

(919) 593-4501

NPI assigned

Jul 18, 2006

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Triumph LLC

  • Clinical Social Worker
  • Raleigh, NC
  • NPI 1003961269
  NPD (past)

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1447278353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1609 MEADOW LN",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275165261",
            "telephone_number": "919-593-4501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1829 E FRANKLIN ST",
            "address_2": "SUITE 900-B",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275145861",
            "telephone_number": "919-593-4501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMUNDSEN",
        "first_name": "NICOLE",
        "name_prefix": "Ms.",
        "credential": "LCSW, MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-18",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C004599",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6003192",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Faezeh Amiri
• Aiysha Amjad, DMD
• Katharine Ammerman, MS, LCHMC-A
• Atinuke Anjoola Amoo, M.D.
• Meghan Amthor, DPT
• An Incredible Me ABA NC LLC
• Aneesha Anand
• Dhanya Anand, MD
• Tarini Anand, M.D.
• Kade Merrick Ancell, MD

• Clinical Social Worker in Chapel Hill, NC
• Providers in Chapel Hill, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.