Individual provider Active NPI

Amy Naseme Prentice, LCSW

  • Clinical Social Worker
  • Chapel Hill, NC
National Provider Identifier
1467791491
Registry record updated Feb 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
590 Manning Dr
CB 7586
Chapel Hill, NC 27599-7586
Phone
(919) 966-0249
Fax
(919) 966-6126
NPI assigned
Feb 12, 2013
Last updated
Feb 12, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2013

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 NC Primary

Addresses

Primary practice location

590 Manning Dr
CB 7586
Chapel Hill, NC 27599-7586

Mailing address

590 Manning Dr
CB 7586
Chapel Hill, NC 27599-7586
Phone (919) 966-0249

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
I20131001000294 NC Practitioner - Clinical Social Worker 3577797778 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
University of North Carolina at Chapel Hill CurrentSince Jul 9, 2013 Accepting new patients

Locations

101 Manning Dr
Chapel Hill, NC 27514
Phone (984) 974-1485

590 Manning Dr
Chapel Hill, NC 27599
Phone (919) 966-0210

590 Manning Dr
#7586
Chapel Hill, NC 27599
Phone (919) 843-3003

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1360627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360627200000",
    "number": "1467791491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "590 MANNING DR",
            "address_2": "CB 7586",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275997586",
            "telephone_number": "919-966-0249",
            "fax_number": "919-966-6126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "590 MANNING DR",
            "address_2": "CB 7586",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275997586",
            "telephone_number": "919-966-0249",
            "fax_number": "919-966-6126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRENTICE",
        "first_name": "AMY",
        "middle_name": "NASEME",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-12",
        "last_updated": "2013-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chapel Hill, NC

Sources for this page

Verify at the official NPI Registry.