Amy E Leary, L.C.S.W., L.C.A.S.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C008081 Issued in NC

Practice address

5105 Monroe Rd
Suite E
Charlotte, NC 28205-7825

Phone

(704) 293-9177

NPI assigned

May 1, 2013

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1367366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453766400000",
    "number": "1891130068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9373",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282999373",
            "telephone_number": "704-293-9177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5105 MONROE RD",
            "address_2": "SUITE E",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282057825",
            "telephone_number": "704-293-9177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEARY",
        "first_name": "AMY",
        "middle_name": "E",
        "credential": "L.C.S.W., L.C.A.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-01",
        "last_updated": "2016-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "20341",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C008081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Learning Curve Cuisine LLC
• Learning Steele, LLC
• Learning Village Academy LLC
• Leary Family Dentistry
• Allyssa Jayne Leary, BCBA
• Martha Leah Leary, LCSWA
• Matthew S. Burgess Leary, PH.D.
• Nicholas Leary, RN
• Victoria Isabella Leary, PT, DPT
• Larry P Lease, P.A.

• Clinical Social Worker in Charlotte, NC
• Providers in Charlotte, 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 Jan 26, 2016; 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.