Amy Cleckler

Primary specialty

Point of ServiceTaxonomy code 305S00000X

License

C006034 Issued in NC

Legal business name

AMY CLECKLER

Practice address

809 North St
Durham, NC 27701-2210

Phone

(919) 943-0405

NPI assigned

Sep 21, 2015

Last updated

Sep 21, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Amy R Cleckler, MPH, MSW, LCSW

Title

Licensend Clinical Social Worker

Phone

(919) 943-0405

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1442793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442793600000",
    "number": "1891164869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "809 NORTH ST",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277012210",
            "telephone_number": "919-943-0405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 NORTH ST",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277012210",
            "telephone_number": "919-943-0405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMY CLECKLER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-21",
        "last_updated": "2015-09-21",
        "status": "A",
        "authorized_official_last_name": "CLECKLER",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "LICENSEND CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "919-943-0405",
        "authorized_official_credential": "MPH, MSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "NC",
            "license": "C006034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Point of Service in Durham, NC
• Providers in Durham, NC by specialty
• Point of Service in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2015; 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.