Harvest Moon Psychotherapy, PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

HARVEST MOON PSYCHOTHERAPY, PLLC

Practice address

313 Walnut Street
Suite 106
Wilmington, NC 28401

Phone

(984) 600-1310

NPI assigned

Sep 14, 2022

Organization subpart

No

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

Authorized official

Name

Amber Borcyk, LCSWANPI 1376167130

Title

Licensed Clinical Social Work Asso.

Phone

(984) 600-1310

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Amber Borcyk, MSSW LCSW-A

  • Clinical Social Worker
  • Durham, NC
  • NPI 1376167130
  NPD Authorized official

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

{
    "created_epoch": "1663113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663113600000",
    "number": "1942922281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1818 MARTIN LUTHER KING JR BLVD # 298",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275147415",
            "telephone_number": "984-600-1310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 WALNUT STREET",
            "address_2": "SUITE 106",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "28401",
            "telephone_number": "984-600-1310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARVEST MOON PSYCHOTHERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-14",
        "last_updated": "2022-09-14",
        "certification_date": "2022-08-23",
        "status": "A",
        "authorized_official_last_name": "BORCYK",
        "authorized_official_first_name": "AMBER",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORK ASSO.",
        "authorized_official_telephone_number": "984-600-1310",
        "authorized_official_credential": "LCSWA"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marsha Harrell Hartmann, PA-C
• Jeff Hartney
• Heather Marie Hartshorne, PA
• Karen Horton Harum, MD
• Harvest Home Health Care LLC
• Emma Harvey
• Lauren E Harvey
• Kelly Helms Harwood, PTA
• Lydia Anne Hasch, MSW, LCSW
• Jafar Riad Hashem, MD

• Clinical Social Worker in Wilmington, NC
• Providers in Wilmington, 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 Sep 14, 2022; 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.