Individual provider Active NPI

Amber K Hartnett, MSW, LCSW-QS, MCAP

  • Clinical Social Worker
  • Merritt Island, FL
National Provider Identifier
1235518325
Registry record updated Sep 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW15040 Issued in FL
Practice address
160 Island Beach Blvd
Merritt Island, FL 32952-5016
Phone
(321) 613-8685
Fax
(321) 522-4544
NPI assigned
May 22, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2023

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X WI
Addiction (Substance Use Disorder) Counselor 101YA0400X 8593-123 WI
Addiction (Substance Use Disorder) Counselor 101YA0400X 18044-130 WI
Addiction (Substance Use Disorder) Counselor 101YA0400X MCAP100902 FL
Clinical Social Worker 1041C0700X 129174-121 WI
Clinical Social Worker 1041C0700X 2022004176 MO
Clinical Social Worker 1041C0700X SW15040 FL Primary

Addresses

Primary practice location

160 Island Beach Blvd
Merritt Island, FL 32952-5016

Mailing address

160 Island Beach Blvd
Merritt Island, FL 32952-5016
Phone (321) 613-8685

Other practice location 1

1541 Annex Rd Ste 200
Jefferson, WI 53549-9803
Phone (920) 674-8125

Other practice location 2

2607 N Grandview Blvd
Suite 102
Waukesha, WI 53188-1690
Phone (262) 446-9981

Other names 1

  • Amber Joyce Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 1, 2025 through Jan 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MCAP100902FLMDAddiction (Substance Use Disorder) Counselor
18044-130WIMDAddiction (Substance Use Disorder) Counselor
SW15040FLMDClinical Social Worker
2022004176MOMDClinical Social Worker
129174-121WIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Adel'S Hope LLC CurrentSince Aug 30, 2020 Accepting new patients
Lev Therapy Clinical CurrentSince Mar 24, 2025 Accepting new patients
Family and Pediatric Clinic PastSince Jul 21, 2018 Accepting new patients
Family and Pediatric Clinic PastSince Jul 21, 2018 Accepting new patients

Locations

200 S Biscayne Blvd
Miami, FL 33131
Phone (210) 248-9077

Organizations & group practices 4

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": "1432252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695168000000",
    "number": "1235518325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 ISLAND BEACH BLVD",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329525016",
            "telephone_number": "321-613-8685",
            "fax_number": "321-522-4544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 ISLAND BEACH BLVD",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329525016",
            "telephone_number": "321-613-8685",
            "fax_number": "321-522-4544"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1541 Annex Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Jefferson",
            "state": "WI",
            "postal_code": "535499803",
            "country_code": "US",
            "telephone_number": "920-674-8125",
            "fax_number": "920-674-6113",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2607 N Grandview Blvd",
            "address_2": "Suite 102",
            "address_purpose": "LOCATION",
            "city": "Waukesha",
            "state": "WI",
            "postal_code": "531881690",
            "country_code": "US",
            "telephone_number": "262-446-9981",
            "fax_number": "262-446-9983",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARTNETT",
        "first_name": "AMBER",
        "middle_name": "K",
        "name_prefix": "Ms.",
        "credential": "MSW, LCSW-QS, MCAP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-22",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "8593-123",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "18044-130",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "FL",
            "license": "MCAP100902",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "129174-121",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2022004176",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW15040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMBER",
            "last_name": "JOYCE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Merritt Island, FL

Sources for this page

Verify at the official NPI Registry.