Individual provider Active NPI

Anisha Roxanna Ames, MSW, LCSW-A

  • Clinical Social Worker
  • Charlotte, NC
National Provider Identifier
1467919563
Registry record updated Oct 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
P020304 Issued in NC
Practice address
233 S Sharon Amity Rd Ste 102
Charlotte, NC 28211-2893
Phone
(980) 613-8474
NPI assigned
Feb 25, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 17, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
School Social Worker 1041S0200X 1216937 NC
Clinical Social Worker 1041C0700X P020304 NC Primary

Addresses

Primary practice location

233 S Sharon Amity Rd Ste 102
Charlotte, NC 28211-2893

Mailing address

626 Baneberry Bluff CT
Rock Hill, SC 29732-5628
Phone (704) 579-9668

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
P020304NCMDClinical Social Worker
1216937NCMDSchool Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Safe Haven Child and Family Counseling Services,LLC Clinical CurrentSince Oct 20, 2024 Accepting new patients

Locations

233 S Sharon Amity Rd
Ste 102
Charlotte, NC 28211
Phone (704) 763-9555

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": "1551052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729123200000",
    "number": "1467919563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "626 BANEBERRY BLUFF CT",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297325628",
            "telephone_number": "704-579-9668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 S SHARON AMITY RD STE 102",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282112893",
            "telephone_number": "980-613-8474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMES",
        "first_name": "ANISHA",
        "middle_name": "ROXANNA",
        "name_prefix": "Mrs.",
        "credential": "MSW, LCSW-A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-25",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "NC",
            "license": "1216937",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P020304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2024; 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.