Individual provider Active NPI

Amanda Marie Stewart, LCSW

  • Clinical Social Worker
  • Palm Harbor, FL
National Provider Identifier
1689383515
Registry record updated Oct 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW23187 Issued in FL
Practice address
34650 US Highway 19 N Ste 206
Palm Harbor, FL 34684-2157
Phone
(833) 769-3524
Fax
(727) 939-6062
NPI assigned
Nov 18, 2022
Last updated
Oct 23, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 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 SW23187 FL Primary
Clinical Social Worker 1041C0700X I.2405093 OH

Addresses

Primary practice location

34650 US Highway 19 N Ste 206
Palm Harbor, FL 34684-2157

Mailing address

34650 US Highway 19 N Ste 206
Palm Harbor, FL 34684-2157
Phone (833) 769-3524

Other practice location 1

807 Kinnear Rd Ste 100
Columbus, OH 43212-1489
Phone (216) 468-5000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, FL2 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
I20240627000615 OH Practitioner - Clinical Social Worker 3072057439 Reassigns benefits to 1 organization
I20240806004664 FL Practitioner - Clinical Social Worker 3072057439 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Personal Recovery Network LLCGroup PAC ID 5092611384, 612 clinicians
Psychological and Behavioral Consultants LLCGroup PAC ID 0446243760, 595 clinicians

Practice addresses (Care Compare)

34650 N US Hwy 19 N
Suite 206
Palm Harbor, FL 34684-2155
Phone (727) 493-9940

807 Kinnear Rd
Columbus, OH 43212-1489
Phone (216) 468-5000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW23187FLMDClinical Social Worker
I.2405093OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Psychological & Behavioral Consultants, LLC Clinical CurrentSince May 6, 2024 Accepting new patients
Personal Recovery Network LLC CurrentSince Aug 1, 2024 Accepting new patients

Locations

4800 N Scottsdale Rd
Ste 2500
Scottsdale, AZ 85251
Phone (253) 346-0392

260 Lookout Pl
Ste 202
Maitland, FL 32751
Phone (407) 537-9450

34650 US Highway 19 N
Ste 206
Palm Harbor, FL 34684
Phone (727) 493-9940

807 Kinnear Rd
Ste 100
Columbus, OH 43212
Phone (614) 687-0068

25111 Country Club Blvd
Ste 290
North Olmsted, OH 44070
Phone (440) 614-2520

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, 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": "1668729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761177600000",
    "number": "1689383515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34650 US HIGHWAY 19 N STE 206",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346842157",
            "telephone_number": "833-769-3524",
            "fax_number": "727-939-6062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34650 US HIGHWAY 19 N STE 206",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346842157",
            "telephone_number": "833-769-3524",
            "fax_number": "727-939-6062"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "807 Kinnear Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432121489",
            "country_code": "US",
            "telephone_number": "216-468-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEWART",
        "first_name": "AMANDA",
        "middle_name": "MARIE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-18",
        "last_updated": "2025-10-23",
        "certification_date": "2025-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW23187",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.2405093",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Harbor, FL

Sources for this page

Verify at the official NPI Registry.