Amy Leigh O'Hearn, MSW, LCAS, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C016885 Issued in NC

Practice address

3225 Battleground Ave Ste 4
Greensboro, NC 27408-2636

Phone

(336) 987-4449

NPI assigned

Oct 10, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Amy'S Rising Phoenix Counseling, PLLC

  • Adult Mental Health Clinic/Center
  • Greensboro, NC
  • NPI 1245068907
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1665360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715731200000",
    "number": "1669197976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2710 CHADBURY DR",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274076697",
            "telephone_number": "336-265-2720",
            "fax_number": "336-265-2721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3225 BATTLEGROUND AVE STE 4",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274082636",
            "telephone_number": "336-987-4449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'HEARN",
        "first_name": "AMY",
        "middle_name": "LEIGH",
        "credential": "MSW, LCAS, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-10",
        "last_updated": "2024-05-15",
        "certification_date": "2024-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "LCAS-27235",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C016885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marykate O'Brien, PA-C
• Danielle Glanton O'Garra, AGACNP-BC
• O'Halloran Consulting LLC
• John W O'Halloran, DPT
• Caitlin O'Hara, LCMHCA
• Brian O'Kelley, MD
• Karen Hypes O'Laughlin, CRNA, MSN
• Laura O'Neal
• Wesley Thomas O'Neal, MD
• Emily Renee O'Neill

• Clinical Social Worker in Greensboro, NC
• Providers in Greensboro, 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 May 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.