Individual provider Active NPI

Amy Ellen Browne Morantes, LCSW-C

  • Clinical Social Worker
  • Tampa, FL
National Provider Identifier
1821411687
Registry record updated Aug 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
16951 Issued in MD
Practice address
1818 E Fletcher Ave
Tampa, FL 33612-3770
Phone
(813) 971-2383
NPI assigned
Jan 30, 2014
Last updated
Aug 12, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 16951 MD Primary

Addresses

Primary practice location

1818 E Fletcher Ave
Tampa, FL 33612-3770

Mailing address

3224 Marcellus Cir
Suite # 622
Tampa, FL 33609-3086
Phone (240) 777-3326

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
16951MDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Shine Medical Providers PC Past Accepting new patients

Organizations & group practices 1

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": "1391040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470960000000",
    "number": "1821411687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3224 MARCELLUS CIR",
            "address_2": "SUITE # 622",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336093086",
            "telephone_number": "240-777-3326",
            "fax_number": "240-777-4665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1818 E FLETCHER AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336123770",
            "telephone_number": "813-971-2383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORANTES",
        "first_name": "AMY",
        "middle_name": "ELLEN BROWNE",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-30",
        "last_updated": "2016-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "16951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2016; 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.