Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Amanda Suydam Purvis, LCSWA

Individual provider Clinical Social Worker · NPI 1528928066

Amanda Suydam Purvis, LCSWA is a Clinical Social Worker in Wilson, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2025
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Practice location Address checks out

115 Whitehead Ave NE
Wilson, NC 27893-3713
Phone: (910) 691-3739
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence P023132 (NC)

Record details

NPI number1528928066
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSWA
Sole proprietorYes
NPI enumeratedNovember 17, 2025
Last updated in NPPESNovember 19, 2025
Certification dateNovember 19, 2025

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