Amy Jo Revels

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P022977 Issued in NC

Practice address

632 W Prospect Ave
Raeford, NC 28376-2512

Phone

(910) 751-2839

NPI assigned

Nov 7, 2025

Last updated

Jul 31, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1762473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785456000000",
    "number": "1477423242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "632 W PROSPECT AVE",
            "city": "RAEFORD",
            "state": "NC",
            "postal_code": "283762512",
            "telephone_number": "910-308-0913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "632 W PROSPECT AVE",
            "city": "RAEFORD",
            "state": "NC",
            "postal_code": "283762512",
            "telephone_number": "910-751-2839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REVELS",
        "first_name": "AMY JO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-11-07",
        "last_updated": "2026-07-31",
        "certification_date": "2026-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P022977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon Leigh Smith Reedy, LCMHCA
• Regina's Touch (none)
• Renewing Hope Adult Services LLC.
• Restoration of Focus: Holistic & Naturopathic Body Sculpting-Fat Loss (Kris Williams-Falcon)
• Restoration of Focus: Mental Health Counseling and Naturopathic Care
• Revizion Counseling Services, PLLC (Charlescie L Graham)
• Rha Health Services NC, LLC
• Mary Rhodes
• Richale R Reed PLLC (CateRRRflies Lifework)
• Kathleen Marie Richard, M.S. LPC

• Clinical Social Worker in Raeford, NC
• Providers in Raeford, 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 31, 2026; 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.