Amanda Gordon, CACIII

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

1437 S Belcher Rd
Clearwater, FL 33764-2829

Phone

(727) 524-4464

Fax

(727) 538-7272

NPI assigned

Feb 19, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1424304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620864000000",
    "number": "1780076356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1004 CARBON",
            "city": "TRINIDAD",
            "state": "CO",
            "postal_code": "810823664",
            "telephone_number": "719-846-4481",
            "fax_number": "719-846-6660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1437 S BELCHER RD",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337642829",
            "telephone_number": "727-524-4464",
            "fax_number": "727-538-7272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "AMANDA",
        "credential": "CACIII",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-02-19",
        "last_updated": "2021-05-13",
        "certification_date": "2021-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CO",
            "license": "6848",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Goodman, PTA
• Jean Ann Goodpasture, PTA
• Gary Thomas Goodwin
• Tiffiney Goodwin
• Gordon H. Zuerndorfer M.D., P.a.
• Bruce Paul Gosche, AU D
• Angela Goudie, LCSW
• Janice Goudie, M.A. CCC-SLP
• Helen Gould
• Cullen Grable, MD

• Social Worker in Clearwater, FL
• Providers in Clearwater, FL by specialty
• Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.