Individual provider Active NPI

Amanda Merski, LCSW

  • Clinical Social Worker
  • New PRT Rchy, FL
National Provider Identifier
1538960893
Registry record updated Mar 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW24405 Issued in FL
Practice address
2154 Seven Springs Blvd
New PRT Rchy, FL 34655-3910
Phone
(727) 473-6815
NPI assigned
Mar 22, 2025
Last updated
Mar 22, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 22, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CW018395 PA
Clinical Social Worker 1041C0700X SW24405 FL Primary

Addresses

Primary practice location

2154 Seven Springs Blvd
New PRT Rchy, FL 34655-3910

Mailing address

8441 Rustlewood CT
Trinity, FL 34655-4578

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
I20250506003791 FL Practitioner - Clinical Social Worker 2163949884 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2154 Seven Springs Blvd
New Port Richey, FL 34655-3910
Phone (727) 473-6815

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CW018395PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Healing Services, LLC Clinical CurrentSince Apr 10, 2025 Accepting new patients

Locations

2154 Seven Springs Blvd
New Prt Rchy, FL 34655
Phone (727) 473-6815

Organizations & group practices 1

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": "1742601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742601600000",
    "number": "1538960893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8441 RUSTLEWOOD CT",
            "city": "TRINITY",
            "state": "FL",
            "postal_code": "346554578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2154 SEVEN SPRINGS BLVD",
            "city": "NEW PRT RCHY",
            "state": "FL",
            "postal_code": "346553910",
            "telephone_number": "727-473-6815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERSKI",
        "first_name": "AMANDA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-03-22",
        "last_updated": "2025-03-22",
        "certification_date": "2025-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW018395",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW24405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New PRT Rchy, FL

Sources for this page

Verify at the official NPI Registry.