Amanda Eagle, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW8894 Issued in FL

Practice address

8245 Cressida CT
Land O Lakes, FL 34637-3222

Phone

(813) 996-9510

NPI assigned

May 21, 2012

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Gonzalez Walker & Webb MD

  • Psychiatry Physician
  • Tampa, FL
  • NPI 1942256904
  NPD (past)

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

{
    "created_epoch": "1337558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337558400000",
    "number": "1811257009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8245 CRESSIDA CT",
            "city": "LAND O LAKES",
            "state": "FL",
            "postal_code": "346373222",
            "telephone_number": "813-996-9510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8245 CRESSIDA CT",
            "city": "LAND O LAKES",
            "state": "FL",
            "postal_code": "346373222",
            "telephone_number": "813-996-9510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EAGLE",
        "first_name": "AMANDA",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-21",
        "last_updated": "2012-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW8894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erika Alejandra Dugas
• Fjona Dulli
• Aileen A Duran, APRN
• Leiny Duran, ARNP
• E&M Florida Enterprises LLC
• Early Intervention Solutions LLC
• Trey E Early, CRNA
• Micaela Eckert
• Diana Maureen Edmonson
• Bari Edwards

• Clinical Social Worker in Land O Lakes, FL
• Providers in Land O Lakes, 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 May 21, 2012; 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.