Active NPI
Anisha Roxanna Ames, MSW, LCSW-A
- Clinical Social Worker
- Charlotte, NC
National Provider Identifier
1467919563
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- P020304
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| P020304 | NC | MD | Clinical Social Worker |
| 1216937 | NC | MD | School Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Safe Haven Child and Family Counseling Services,LLC | Clinical | Current | 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.
-
- Community/Behavioral Health Agency
- Charlotte, NC
- NPI 1851590558
Clinical
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": []
}
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- Miranda Rose Amey, OTR/L
- Amiable Homecare Solutions, Inc.
- Kayla Michelle Amico, PA
- Shelda Amilcka, PA-C
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.