Individual provider Active NPI

Amanda Morgan

  • Clinical Social Worker
  • Cape Coral, FL
National Provider Identifier
1851600423
Registry record updated Oct 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW018215 Issued in PA
Practice address
1631 Del Prado Blvd S Ste 300-1041
Cape Coral, FL 33990-6739
Phone
(904) 601-5463
NPI assigned
Sep 30, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X P006108 NC
Clinical Social Worker 1041C0700X CW018215 PA Primary

Addresses

Primary practice location

1631 Del Prado Blvd S Ste 300-1041
Cape Coral, FL 33990-6739

Mailing address

1631 Del Prado Blvd S Ste 300-1041
Cape Coral, FL 33990-6739

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, FL2 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

Enrollment IDStateProvider typePAC IDDetails
I20150803000905 PA Practitioner - Clinical Social Worker 9931413085 Reassigns benefits to 1 organization
I20230921001389 FL Practitioner - Clinical Social Worker 9931413085 Reassigns benefits to 1 organization
Practice locations: Cape Coral, FL

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lime Counseling LLCGroup PAC ID 8022462209, 2 clinicians

Practice addresses (Care Compare)

432 NW 1St LN
Cape Coral, FL 33993-2400
Phone (904) 601-5463

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P006108NCMDSocial Worker
CW018215PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Lime Counseling LLC Clinical CurrentSince Aug 22, 2023 Accepting new patients

Locations

15 Mountainside Rd
Temple, PA 19560
Phone (904) 601-5463

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1285804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696550400000",
    "number": "1851600423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1631 DEL PRADO BLVD S STE 300-1041",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339906739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1631 DEL PRADO BLVD S STE 300-1041",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339906739",
            "telephone_number": "904-601-5463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORGAN",
        "first_name": "AMANDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-30",
        "last_updated": "2023-10-06",
        "certification_date": "2023-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NC",
            "license": "P006108",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW018215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Coral, FL

Sources for this page

Verify at the official NPI Registry.