| Amy West Lcsw Pllc | |
|
4620 Cedar Ave Ste 117 Wilmington NC 28403-4423 | |
| (910) 218-2315 | |
| (910) 218-2325 |
| Full Name | Amy West Lcsw Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 4620 Cedar Ave Ste 117, Wilmington, North Carolina |
| Authorized Official Name and Position | Amy West (OWNER/LCSW) |
| Authorized Official Contact | 2035365620 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Amy West Lcsw Pllc 4620 Cedar Ave Ste 117 Wilmington NC 28403-4423 Ph: () - | Amy West Lcsw Pllc 4620 Cedar Ave Ste 117 Wilmington NC 28403-4423 Ph: (910) 218-2315 |
| NPI Number | 1851162374 |
|---|---|
| Provider Enumeration Date | 01/12/2024 |
| Last Update Date | 01/16/2024 |
| Certification Date | 01/16/2024 |
| Medicare PECOS PAC ID | 0042663411 |
|---|---|
| Medicare Enrollment ID | O20240201001960 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851162374 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Amy Z West |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437609278 PECOS PAC ID: 3072922285 Enrollment ID: I20210429000185 |
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