Amanda Ann Colby Algee
Individual provider Active NPI Clinical Social Worker · Crestview, FL
NPI 1790452845 · NPPES record last updated Aug 26, 2021
Key facts
- NPI
- 1790452845
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- ISW15899 (FL)
- Practice address
- 160 Duggan Ave
Crestview, FL 32536-4812 - Phone
- (505) 412-5292
- NPI assigned
- Aug 26, 2021
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ISW15899 | FL | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | ISW15899 | FL | Yes |
Addresses
Primary practice location
160 Duggan Ave
Crestview, FL 32536-4812
Mailing address
2320 Reva Cir
Pensacola, FL 32526-1420
Phone (304) 613-9494
Other providers in Crestview, FL
- Phil Alabata
- Alba ABA Therapy Clinic
- Haley Alford
- Matt Alford
- Sarah Alford
- Sydney E Alino
- Allegiance Resiliency Therapy L.L.C.
- Heather Allen
- Kelly Allen
- Alternative Living Inc.
All providers in Crestview, FL · Clinical Social Worker in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 26, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.