AMY CLECKLER (NPI# 1891164869) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891164869 |
| Entity Type | Organization |
| Organization Name | AMY CLECKLER |
| Practice Address |
809 North St Durham NC 27701-2210 |
| Practice Telephone | 9199430405 |
| Mailing Telephone | 9199430405 |
| Enumeration Date | 2015-09-21 |
| Last Update Date | 2015-09-21 |
| Authorized Official Name | AMY R CLECKLER (LICENSEND CLINICAL SOCIAL WORKER) |
| Authorized Official Telephone | 9199430405 |
| Authorized Official Credential | MPH, MSW, LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305S00000X | Point of Service | C006034 | NC | Managed Care Organizations |
| Street Address |
809 NORTH ST |
| City | DURHAM |
| State | NC |
| Zip Code | 27701-2210 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952956179 | Sa'naa Lenoir | Naturopath | 1213 Avondale Drive Suite 4, Durham, NC 27701 | 2019-08-05 |
| 1225682792 | Sherifat Balogun | Pharmacist | 406 Rigsbee Ave Suite 201, Durham, NC 27701 | 2019-08-01 |
| 1427575950 | Kristen Kesler Desena | Speech-Language Pathologist | 1105 Englewood Avenue, Durham, NC 27701 | 2017-08-25 |
| 1295255263 | Tiffany Claire Ashe | Social Worker | 331 W Main St Ste 308, Durham, NC 27701 | 2017-06-21 |
| 1265815096 | Colleen Hamman | Specialist/Technologist | 616 E Lawson St, Durham, NC 27701 | 2015-06-29 |
| 1366843286 | Gene Mcphaul | Counselor | 3545 Mayfair St, Durham, NC 27701 | 2014-09-10 |
| 1245652957 | Michelle Annette Underdue | Social Worker | 801 East Main Street, Suite 2-120, Durham, NC 27701 | 2014-01-15 |
| 1518306109 | Lincicome Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 300-a Northwood Circle, Durham, NC 27701 | 2013-06-18 |
| 1669754693 | Ruffin Home 2 | Assisted Living Facility | 830 N. Mangum St., Durham, NC 27701 | 2011-09-15 |
| 1609192657 | Samaritan Health Center, Inc. | Clinic/Center | 507 E. Knox Street, Durham, NC 27701 | 2010-04-15 |
| Find all providers in zip 27701 | ||||
| Taxonomy Code | 305S00000X |
| Grouping | Managed Care Organizations |
| Classification | Point of Service |
| This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 62 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285190926 | Roshonda Mcfadden | Point of Service | 12 Winding Creek Cir Apt P, Durham, NC 27705-1541 | 2019-02-19 |
| 1275678252 | Rls Optical, Inc. | Point of Service | 3101 Shannon Rd, Durham, NC 27707-3571 | 2007-02-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972126092 | Vax Mobile Nc LLC | Point of Service | 204 Crestmont Ridge Dr, Apex, NC 27523-7119 | 2020-05-22 |
| 1437640448 | Kevin Lamont Lane | Point of Service | 7149 Jennings Rd Ne, Leland, NC 28451-9431 | 2018-05-24 |
| 1639624034 | Choices for Recovery, LLC | Point of Service | 200 Queens Rd Ste 102, Charlotte, NC 28204-3252 | 2016-08-16 |
| 1760859193 | Triad Health Solutions | Point of Service | 6420 Rains Davis Rd, Kernersville, NC 27284-0127 | 2015-09-02 |
| 1215331525 | Saylor Physical Therapy Cornelius LLC | Point of Service | 19460 Old Jetton Rd, Suite 202, Cornelius, NC 28031-6456 | 2014-10-15 |
| 1316385438 | Lauren M. Grantham | Point of Service | 1807 E Walnut St, Goldsboro, NC 27530-5330 | 2013-06-11 |
| 1184985178 | Kerr Drug | Point of Service | 206 Us Route 117 South, Burgaw, NC 28425 | 2012-06-06 |
| 1467729855 | Bridging The Gap of North Carolina | Point of Service | 3050 Riverwood Pkwy Ste B, Gastonia, NC 28056-6002 | 2011-11-29 |
| 1558638767 | Resource Care Alliance, Inc | Point of Service | 516-d River Highway, Suite 145, Mooresville, NC 28117 | 2011-11-17 |
| 1205113487 | Pangea Healthcare Alliance | Point of Service | 5111 Bodie Ln, Greensboro, NC 27455-3463 | 2011-11-15 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.