Amy Bondurant, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1396547170 Issued in FL

Practice address

824 N Ferdon Blvd
Crestview, FL 32536-2157

Phone

(850) 603-0941

NPI assigned

Mar 25, 2025

Last updated

Mar 25, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ascent Christian Counseling, LLC

  • Mental Health Counselor
  • Crestview, FL
  • NPI 1073255279

  Clinical

  NPD

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

{
    "created_epoch": "1742860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742860800000",
    "number": "1396547170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "824 N FERDON BLVD",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325362157",
            "telephone_number": "850-603-0941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "824 N FERDON BLVD",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325362157",
            "telephone_number": "850-603-0941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONDURANT",
        "first_name": "AMY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-25",
        "last_updated": "2025-03-25",
        "certification_date": "2025-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "1396547170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bluewater Orthopedics, P.a. (Bluewater Orthopedics and Rehabilitation)
• Karey Boerst, RDN
• Tamara Bogle, LCSW
• Alisia Michelle Bolin
• Emma Bombriant
• Robert Alan Bortz, RPH
• Marcello A Borzatta, MD
• Emily Virginia Bowling, M.S. R.D.
• Brandi Suzanne Boyette
• Melissa Leigh Bracewell, PHARMD

• Clinical Social Worker in Crestview, FL
• Providers in Crestview, 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 Mar 25, 2025; 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.