Individual provider Active NPI

Emily Joy Greasamar, LCSWA

  • Clinical Social Worker
  • Raleigh, NC
National Provider Identifier
1649873787
Registry record updated Mar 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
P014699 Issued in NC
Practice address
9205 Baileywick Rd Ste 200
Raleigh, NC 27615-1977
Phone
(919) 845-5400
Fax
(919) 845-5431
NPI assigned
Nov 20, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 15, 2021

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 P014699 NC Primary

Addresses

Primary practice location

9205 Baileywick Rd Ste 200
Raleigh, NC 27615-1977

Mailing address

9205 Baileywick Rd Ste 200
Raleigh, NC 27615-1977
Phone (919) 845-5400

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
P014699NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Loving and Living Center PastSince Feb 21, 2021 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1605830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615766400000",
    "number": "1649873787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9205 BAILEYWICK RD STE 200",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276151977",
            "telephone_number": "919-845-5400",
            "fax_number": "919-845-5431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9205 BAILEYWICK RD STE 200",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276151977",
            "telephone_number": "919-845-5400",
            "fax_number": "919-845-5431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREASAMAR",
        "first_name": "EMILY",
        "middle_name": "JOY",
        "credential": "LCSWA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-20",
        "last_updated": "2021-03-15",
        "certification_date": "2021-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P014699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2021; 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.