Amanda Michele Bard, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

1711 SE 21St St
Cape Coral, FL 33990-4736

Phone

(813) 787-5373

NPI assigned

Apr 6, 2022

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

Other names 1

• Amanda Michele Renz Former name

Medicare fee-for-service enrollment

Enrolled in FL, MA2 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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  Clinical, MA

  Medicare reassignment NPD

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

{
    "created_epoch": "1649203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652486400000",
    "number": "1831830439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1711 SE 21ST ST",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339904736",
            "telephone_number": "813-787-5373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1711 SE 21ST ST",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339904736",
            "telephone_number": "813-787-5373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARD",
        "first_name": "AMANDA",
        "middle_name": "MICHELE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-06",
        "last_updated": "2022-05-14",
        "certification_date": "2022-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "RENZ",
            "middle_name": "MICHELE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jose Rodrigo Barahona, MD
• Luis Joaquin Barata Hidalgo, ARNP
• Bruce Caide Barbon, O.D.
• Frank James Barcells
• Yanelys Barcelo Darias, RBT
• Gloria M. Bardsley, O.T.
• Christine E Bardy, PHD
• Marlys Barea
• Dana Allison Barker X
• Daniel Richard Barker, LMT

• Clinical Social Worker in Cape Coral, FL
• Providers in Cape Coral, 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 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.