Amanda Kirsten Calta, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW18823 Issued in FL

Practice address

19010 Cour Ests
Lutz, FL 33558-2857

Phone

(813) 514-3706

NPI assigned

Apr 29, 2022

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Upshaw TMS LLCGroup PAC ID 3678819349, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• FL PPO
• Freedom Health HMO Network

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Upshaw TMS LLC

  dba NeuroSpa

  • Psychiatry Physician
  • Tampa, FL
  • NPI 1629560545
  Medicare reassignment Care Compare group NPD
• Cognifit LLC

  • Clinical Social Worker
  • Lutz, FL
  • NPI 1689303851
  NPD Authorized official
• Neurospa TMS LLC

  • Community/Behavioral Health Agency
  • Tampa, FL
  • NPI 1265043434
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1651190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651190400000",
    "number": "1023753555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19010 COUR ESTS",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335582857",
            "telephone_number": "813-514-3706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19010 COUR ESTS",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335582857",
            "telephone_number": "813-514-3706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALTA",
        "first_name": "AMANDA",
        "middle_name": "KIRSTEN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-29",
        "last_updated": "2022-04-29",
        "certification_date": "2021-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW18823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "iPad",
            "affiliation": "N",
            "address_1": "19010 Cour Ests",
            "city": "Lutz",
            "state": "FL",
            "country_code": "US",
            "postal_code": "335582857",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Shatice Caldwell
• Joe Calhoun, LCSW
• Jennifer Lynn Call, PA-C
• Gabriela Calle
• Kate Lillian Callinan
• Jonnathan Alberto Camacho, D.C.
• Kalyn V Cameron, APRN
• April Veronica Campbell, MSW
• Cierra Denise Cangeme
• Pavel Capote, MD

• Clinical Social Worker in Lutz, FL
• Providers in Lutz, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.