Individual provider Active NPI

Amanda Dumas, LCSW

  • Clinical Social Worker
  • Winter Garden, FL
National Provider Identifier
1053979161
Registry record updated Jul 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
213 S Dillard St Ste 120B
Winter Garden, FL 34787-3596
Phone
(412) 102-6019
Fax
(407) 734-3338
NPI assigned
Jun 4, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X FL Primary

Addresses

Primary practice location

213 S Dillard St Ste 120B
Winter Garden, FL 34787-3596

Mailing address

517 Deltona Blvd Ste a
Deltona, FL 32725-8016
Phone (386) 259-5413

Other practice location 1

517 Deltona Blvd Ste A
Deltona, FL 32725-8016
Phone (386) 259-5413

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20211103001107 FL Practitioner - Clinical Social Worker 6204224702 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Moore Consulting Holdings, LLCGroup PAC ID 6103248000, 11 clinicians

Practice addresses (Care Compare)

213 S Dillard St
Suite 120B
Winter Garden, FL 34787-3596
Phone (407) 734-3338

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Moore Consulting Holdings, LLC Clinical CurrentSince Oct 29, 2021 Accepting new patients
Circle of Friends Services Inc Past Accepting new patients
Florida United Methodist Childrens Home, Inc. PastSince Feb 23, 2020 Accepting new patients

Locations

213 S Dillard St
Ste 220B
Winter Garden, FL 34787
Phone (407) 734-3338

213 S Dillard St
Ste 120B
Winter Garden, FL 34787
Phone (407) 734-3338

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1559606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658188800000",
    "number": "1053979161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "517 DELTONA BLVD STE A",
            "city": "DELTONA",
            "state": "FL",
            "postal_code": "327258016",
            "telephone_number": "386-259-5413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 S DILLARD ST STE 120B",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347873596",
            "telephone_number": "412-102-6019",
            "fax_number": "407-734-3338"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "517 Deltona Blvd Ste A",
            "address_purpose": "LOCATION",
            "city": "Deltona",
            "state": "FL",
            "postal_code": "327258016",
            "country_code": "US",
            "telephone_number": "386-259-5413",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUMAS",
        "first_name": "AMANDA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-04",
        "last_updated": "2022-07-19",
        "certification_date": "2022-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Garden, FL

Sources for this page

Verify at the official NPI Registry.