Amy Jewell, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C009196 Issued in NC

Practice address

2725 Clover Rd NW
Concord, NC 28027-3804

Phone

(704) 788-4300

NPI assigned

Sep 22, 2014

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1411344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413849600000",
    "number": "1598167538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4401 OLD AIRPORT RD",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280257188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2725 CLOVER RD NW",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280273804",
            "telephone_number": "704-788-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEWELL",
        "first_name": "AMY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-22",
        "last_updated": "2014-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C009196",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NORTH CAROLINA SOCIAL WORK AND LICENSURE BOARD",
            "identifier": "C009196",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily Jenkins
• Schwanna Denise Jenkins, LCSWA
• Blake Jennewein
• Dana Elzayat Jeter
• Latifah Quanah Jeter, FNP-C
• Jillian Skeeters Woodruff DMD, PA
• Priscila Jimenez
• Carrie Jirka
• John E. Kempter DDS PLLC
• John Edward Kempter DDS PLLC

• Clinical Social Worker in Concord, NC
• Providers in Concord, 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 Oct 21, 2014; 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.