Individual provider · Type 1 NPI

Amy Lissette Vance Rico

Clinical Social Worker · Raleigh, NC

NPI number 1124947189 Active

Practice location

8396 Six Forks Rd Ste 102
Raleigh, NC 27615-3058

Call (919) 576-0390 Map

Mailing address

2217 Canterbury Dr
Burlington, NC 27215-4524

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XP022667 (NC)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1124947189

Amy Lissette Vance Rico's National Provider Identifier is 1124947189, issued on Jul 14, 2026. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Raleigh, NC. The record was last updated on Jul 14, 2026.