Amy Lawson Richardson, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C012066 Issued in NC

Practice address

104 E Old Highway 74 76
Lake Waccamaw, NC 28450-2512

Phone

(910) 646-3083

NPI assigned

Jul 25, 2023

Sex

Female

Sole proprietor

No

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.

• Boys & Girls Homes of NC, Inc

  • Foster Care Agency
  • Lake Waccamaw, NC
  • NPI 1245542745
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

• Amy Lawson Former name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 25, 2023.

{
    "created_epoch": "1690243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690243200000",
    "number": "1760163695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 FLEMINGTON DRIVE",
            "city": "LAKE WACCAMAW",
            "state": "NC",
            "postal_code": "28450",
            "telephone_number": "910-646-3083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 E OLD HIGHWAY 74 76",
            "city": "LAKE WACCAMAW",
            "state": "NC",
            "postal_code": "284502512",
            "telephone_number": "910-646-3083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "AMY",
        "middle_name": "LAWSON",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-25",
        "last_updated": "2023-07-25",
        "certification_date": "2023-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C012066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "LAWSON",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• De'Voncia Lachel Mickins
• New Opportunities of Columbus Co.
• Danielle Nicole Poteat, LCSWA
• Premier Living and Healthcare Center LLC
• Premier Living and Rehab Center
• Thompson Child & Family Focus
• Thompson Child & Family Focus
• Town of Lake Waccamaw
• Stephanie Anne Tucker, LCSWA
• Waccamaw Ultrasound & Diagnostics

• All providers in Lake Waccamaw, NC
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2023; 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.