Amanda Rebecca Blackwell, MSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW20922 Issued in FL

Practice address

29149 Chapel Park Dr
Wesley Chapel, FL 33543-4423

Phone

(813) 575-8199

NPI assigned

Jun 20, 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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Restoration Unfolded

  • Clinical Social Worker
  • Pinellas Park, FL
  • NPI 1992579692
  NPD Authorized official
• Renewed Integrative Counseling

  • Mental Health Counselor
  • Riverview, FL
  • NPI 1144988080
  NPD (past)

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

{
    "created_epoch": "1655683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714089600000",
    "number": "1346971579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6837 40TH LN N",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "337816178",
            "telephone_number": "727-741-5684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29149 CHAPEL PARK DR",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335434423",
            "telephone_number": "813-575-8199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACKWELL",
        "first_name": "AMANDA",
        "middle_name": "REBECCA",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-20",
        "last_updated": "2024-04-26",
        "certification_date": "2024-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW20922",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1144988080",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heidi E Biringer, PA-C
• Birth God'S Way, Inc.
• James Bishop, PA-C
• Jennifer F Bishop, MSN, FNP, APRN-BC
• Kayla Bishop
• Shenley Blake
• Michelle Blanchard, ITDS
• Alexandra Elisabeth Blanco, PMHNP
• Kimberly Blanding Hodges, ED.D.
• Bliss Pelvic Health

• Clinical Social Worker in Wesley Chapel, FL
• Providers in Wesley Chapel, 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 26, 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.