Individual provider Active NPI

Amanda Seiler-Adams, MSW

  • Clinical Social Worker
  • Daytona Beach, FL
National Provider Identifier
1417622325
Registry record updated Aug 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
121 Grande Berwick CT
Daytona Beach, FL 32124-2100
Phone
(352) 600-4644
NPI assigned
Aug 12, 2021
Last updated
Aug 12, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2021

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 Primary

Addresses

Primary practice location

121 Grande Berwick CT
Daytona Beach, FL 32124-2100

Mailing address

121 Grande Berwick CT
Daytona Beach, FL 32124-2100
Phone (352) 600-4644

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, KS2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20241121000089 FL Practitioner - Clinical Social Worker 9234664756 Reassigns benefits to 2 organizations
I20250905001013 KS Practitioner - Clinical Social Worker 9234664756 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2021
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

Port Orange, FL 32128
Phone (352) 600-4644

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Clinical CurrentSince Jul 22, 2025 Accepting new patients
Opal Sky Therapy LLC Clinical CurrentSince Oct 7, 2024 Accepting new patients
Grow Healthcare Group of Kansas PA Clinical CurrentSince Jul 29, 2025 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

801 E Douglas Ave
Fl 2ND
Wichita, KS 67202
Phone (316) 974-3161

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

NPI Registry JSON

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

{
    "created_epoch": "1628726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628726400000",
    "number": "1417622325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 GRANDE BERWICK CT",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321242100",
            "telephone_number": "352-600-4644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 GRANDE BERWICK CT",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321242100",
            "telephone_number": "352-600-4644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEILER-ADAMS",
        "first_name": "AMANDA",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-12",
        "last_updated": "2021-08-12",
        "certification_date": "2021-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Daytona Beach, FL

Sources for this page

Verify at the official NPI Registry.