Individual provider Active NPI

Amanda Conrad Pippin, MSW, LCSW

  • Clinical Social Worker
  • Greenville, NC
National Provider Identifier
1659817211
Registry record updated Feb 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C010002 Issued in NC
Practice address
231 Commerce St
Greenville, NC 27858-5029
Phone
(252) 321-8080
Fax
(252) 321-7999
NPI assigned
Jan 6, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2022

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 C010002 NC Primary

Addresses

Primary practice location

231 Commerce St
Greenville, NC 27858-5029

Mailing address

2100 Stantonsburg Rd
Greenville, NC 27834-2818

Other practice location 1

893 HWY 70 West
Suite 200
Garner, NC 27529
Phone (919) 779-6461

Other practice location 2

893 HWY 70 West
Suite 200
Garner, NC 27529
Phone (919) 779-6461

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C010002NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Onsite Healthcare Services LLC PastSince Jun 1, 2016 Accepting new patients
Garner Psychiatry, PLLC Past Accepting new patients

Organizations & group practices 2

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": "1483660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644969600000",
    "number": "1659817211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 STANTONSBURG RD",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278342818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 COMMERCE ST",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278585029",
            "telephone_number": "252-321-8080",
            "fax_number": "252-321-7999"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "893 HWY 70 West",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Garner",
            "state": "NC",
            "postal_code": "27529",
            "country_code": "US",
            "telephone_number": "919-779-6461",
            "fax_number": "919-746-8120",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "893 HWY 70 West",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Garner",
            "state": "NC",
            "postal_code": "27529",
            "country_code": "US",
            "telephone_number": "919-779-6461",
            "fax_number": "919-746-8120",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PIPPIN",
        "first_name": "AMANDA",
        "middle_name": "CONRAD",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-06",
        "last_updated": "2022-02-16",
        "certification_date": "2022-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C010002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, NC

Sources for this page

Verify at the official NPI Registry.