Amanda Clerkin, MSW, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Raleigh, North Carolina. Her current practice location is
16 W Martin St Ste 201, Raleigh, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(984) 369-9756.
Amanda Clerkin is licensed to practice in North Carolina (license number C012555) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1003905738.
Healthcare Provider's Profile
| Full Name | Amanda Clerkin |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 16 W Martin St Ste 201, Raleigh, North Carolina |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1003905738
- Provider Enumeration Date: 10/12/2006
- Last Update Date: 05/10/2023
Medicare PECOS Information:
- PECOS PAC ID: 4880799436
- Enrollment ID: I20191114002316
Medical Identifiers
Medical identifiers for Amanda Clerkin such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1003905738 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 34005212A (Indiana) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | CO1255 (North Carolina) | Secondary |
| 101YM0800X | Counselor - Mental Health | 34005212A (Indiana) | Secondary |
| 101YM0800X | Counselor - Mental Health | CO1255 (North Carolina) | Secondary |
| 1041C0700X | Social Worker - Clinical | C012555 (North Carolina) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Amanda Clerkin allows following entities to bill medicare on her behalf.
| Entity Name | Thriveworks Clinical - North Carolina Pc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1003303082
PECOS PAC ID: 8527471200
Enrollment ID: O20210120000669 |
|---|
| Entity Name | Grow Healthcare Group Pa |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1245845932
PECOS PAC ID: 3476961368
Enrollment ID: O20221208000188 |
|---|
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Amanda Clerkin is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Amanda Clerkin, MSW, LCSW
Po Box 748465,
Atlanta, GA 30374-8465
Ph: (855) 284-7483 | Amanda Clerkin, MSW, LCSW
16 W Martin St Ste 201,
Raleigh, NC 27601-2991
Ph: (984) 369-9756 |
Reviews and Comments