Individual provider Active NPI

Amanda Coreen Sweeney, LCSW

  • Clinical Social Worker
  • Miami, FL
National Provider Identifier
1528553443
Registry record updated Jun 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
15425 Issued in FL
Practice address
12595 SW 137TH Ave
Miami, FL 33186-4220
Phone
(305) 662-6652
Fax
(305) 382-9475
NPI assigned
Jun 22, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2018

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 15425 FL Primary

Addresses

Primary practice location

12595 SW 137TH Ave
Miami, FL 33186-4220

Mailing address

12595 SW 137TH Ave Ste 103
Miami, FL 33186-4218
Phone (305) 662-6652

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20200612001624 FL Practitioner - Clinical Social Worker 4486076841 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15425FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Onyiamind Counseling, Inc. Clinical CurrentSince Jan 21, 2020 Accepting new patients
Onyiamind Counseling, Inc. PastSince Mar 1, 2025 Accepting new patients

Locations

12855 SW 132nd St
Ste 104
Miami, FL 33186
Phone (786) 250-3494

Organizations & group practices 2

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": "1529625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529625600000",
    "number": "1528553443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12595 SW 137TH AVE STE 103",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331864218",
            "telephone_number": "305-662-6652",
            "fax_number": "305-382-9475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12595 SW 137TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331864220",
            "telephone_number": "305-662-6652",
            "fax_number": "305-382-9475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWEENEY",
        "first_name": "AMANDA",
        "middle_name": "COREEN",
        "name_prefix": "Miss",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-22",
        "last_updated": "2018-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "15425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.