Amanda Gregory, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW23623 Issued in FL

Practice address

325 John Knox Rd Ste C126
Tallahassee, FL 32303-4102

Phone

(850) 766-6572

NPI assigned

Sep 28, 2024

Sex

Female

Sole proprietor

No

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

Opted out of Medicare

Yes, effective Nov 7, 2024 through Nov 7, 2026

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• I'M Free Now What LLC

  • Community/Behavioral Health Agency
  • Tallahassee, FL
  • NPI 1972077139
  NPD

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

{
    "created_epoch": "1727481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727481600000",
    "number": "1962220046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1023 OAKLANDS PLANTATION RD",
            "city": "MONTICELLO",
            "state": "FL",
            "postal_code": "323445939",
            "telephone_number": "850-766-6572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 JOHN KNOX RD STE C126",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323034102",
            "telephone_number": "850-766-6572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREGORY",
        "first_name": "AMANDA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-28",
        "last_updated": "2024-09-28",
        "certification_date": "2024-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW23623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Greenhill, M.ED., CCC/SLP
• Bethany Greenwood, RMHCI
• Mary Charlene Greer, PHARM.D.
• Candice Priscilla Gregg, ARNP
• Joshua Bailey Gregg
• Carma Leigh Grenon, CRNA
• Jeanette Grice
• Jewells Grier
• Consina A Griffin-Greaux, CAGG ASSOCIATES, LLC
• Deana Griffin

• Clinical Social Worker in Tallahassee, FL
• Providers in Tallahassee, 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 Sep 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.