Amy Michelle Smith, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C003220 Issued in NC

Practice address

75 Hampstead VLG
Hampstead, NC 28443-8250

Phone

(910) 270-3811

Fax

(910) 270-3897

NPI assigned

Mar 15, 2007

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

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, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Chronic Health Counseling PLLCGroup PAC ID 1850644501, 3 clinicians

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Chronic Health Counseling, PLLC

  • Clinical Social Worker
  • Concord, NC
  • NPI 1275029423
  Medicare reassignment Care Compare group NPD
• Ages and Stages Counseling and Consulting, PLLC

  • Clinical Social Worker
  • Hampstead, NC
  • NPI 1922825082
  NPD Authorized official
• Growing Pains, P.a.

  • Clinical Social Worker
  • Hampstead, NC
  • NPI 1326162629
  NPD Authorized official

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1932233863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 HAMPSTEAD VLG",
            "city": "HAMPSTEAD",
            "state": "NC",
            "postal_code": "284438250",
            "telephone_number": "910-270-3811",
            "fax_number": "910-270-3897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 HAMPSTEAD VLG",
            "city": "HAMPSTEAD",
            "state": "NC",
            "postal_code": "284438250",
            "telephone_number": "910-270-3811",
            "fax_number": "910-270-3897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "AMY",
        "middle_name": "MICHELLE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-15",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C003220",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6002278",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS IND. #",
            "identifier": "130 XT",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST",
            "identifier": "186473",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lydia Elyse Shively, ATR-P, LCMHCA
• Shoreline Health, PC
• Natalie Simkins
• Morgan Drew Sisk, LMBT13766
• Angela Michelle Slightom-Williams, LCMHC
• Devin Smith
• Nicole Elizabeth Smith
• Paula Kilpatrick Smith, PA
• Madison Christina Snelling
• Solid Rock Intervention Services LLC

• Clinical Social Worker in Hampstead, NC
• Providers in Hampstead, 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 Jul 9, 2007; 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.