Amanda Kristen Pelaez, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

10672 Issued in FL

Practice address

2881 E Oakland Park Blvd
304
Fort Lauderdale, FL 33306-1813

Phone

(954) 593-3799

NPI assigned

Mar 7, 2013

Last updated

Mar 27, 2017By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Medicare enrollment (NPD)

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

• Feel Good Now Counseling

  • Community/Behavioral Health Agency
  • Margate, FL
  • NPI 1871834440
  NPD (past) Authorized official

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

{
    "created_epoch": "1362614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490572800000",
    "number": "1548501117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2881 E OAKLAND PARK BLVD",
            "address_2": "304",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333061813",
            "telephone_number": "954-593-3799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2881 E OAKLAND PARK BLVD",
            "address_2": "304",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333061813",
            "telephone_number": "954-593-3799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELAEZ",
        "first_name": "AMANDA",
        "middle_name": "KRISTEN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-07",
        "last_updated": "2017-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "10672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pediatrix Medical Group of Florida Inc
• Pediatrix Medical Group of Florida Inc
• Pediatrix Medical Group of Florida Inc
• Pediatrix Medical Group of Florida, Inc
• Jay Bennett Peitzer, MD
• Thomas Pelaez, PT, DPT, CSCS
• Lauren Pelkey, LMHC, ATR
• Sal James Pellegrino, DC
• Luis Pellicia-Ramos, MD
• Yaritza Pena Curbelo

• Clinical Social Worker in Fort Lauderdale, FL
• Providers in Fort Lauderdale, 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 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.