Amanda Lee Stoll, MSW, RCSWI

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

ISW20388 Issued in FL

Practice address

2650 Bahia Vista St Ste 204
Sarasota, FL 34239-2625

Phone

(941) 202-1999

Fax

(941) 202-2009

NPI assigned

May 25, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Tidewater Total Mind Care, LLC

  • Psychiatry Physician
  • Sarasota, FL
  • NPI 1457097032

  Multi-Specialty

  NPD

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

{
    "created_epoch": "1716595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725148800000",
    "number": "1184464463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2650 BAHIA VISTA ST STE 204",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342392625",
            "telephone_number": "941-202-1999",
            "fax_number": "941-202-2009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2650 BAHIA VISTA ST STE 204",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342392625",
            "telephone_number": "941-202-1999",
            "fax_number": "941-202-2009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOLL",
        "first_name": "AMANDA",
        "middle_name": "LEE",
        "credential": "MSW, RCSWI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-25",
        "last_updated": "2024-09-01",
        "certification_date": "2024-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "FL",
            "license": "ISW20388",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "ISW20388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amanda@tidewatertotalmindcare.com",
            "affiliation": "N",
            "endpointDescription": "HIPAA compliant email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "useOtherDescription": "coc",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3333 Clark Rd Ste 100",
            "city": "Sarasota",
            "state": "FL",
            "country_code": "US",
            "postal_code": "342318437",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jacqulynn Diane Stinnett, LMT
• Mary Ann Teresa Stockstill, LMHC
• Jessica Endaya Stoddard, DMD
• Patricia J Stoff, LCSW
• Edward J Stolarski, MD
• Gordon H Stoltzner, M.D.
• Suzanne Feil Stoltzner, ARNP
• Ciera Stone
• David Stone, M.D, PH.D.
• Jerold M Stone, LCSW

• Clinical Social Worker in Sarasota, FL
• Providers in Sarasota, 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 Sep 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.