Amanda Jean Blackwell

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

BP00946515 Issued in WV

Practice address

201 Edgington LN
Wheeling, WV 26003-1513

Phone

(304) 242-0217

NPI assigned

Apr 28, 2026

Last updated

Apr 28, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1777334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777334400000",
    "number": "1972449247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 COLLIERS WAY",
            "city": "WEIRTON",
            "state": "WV",
            "postal_code": "260625003",
            "telephone_number": "304-723-5440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 EDGINGTON LN",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260031513",
            "telephone_number": "304-242-0217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACKWELL",
        "first_name": "AMANDA",
        "middle_name": "JEAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-04-28",
        "last_updated": "2026-04-28",
        "certification_date": "2026-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WV",
            "license": "BP00946515",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "S.2308884",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Debra Lynn Birch, NP
• Susan Ann Birch
• Maria Birdsong
• Cayla Black, RN, BSN
• Matthew Black, RPH
• Aimee Renee Mae Blagovich, D.O.
• Felicia Ann Blake
• Jackie Blake
• Marla M Blake, BSW, MA, LSW
• Stacy Blake, MSCCC-SLP

• Clinical Social Worker in Wheeling, WV
• Providers in Wheeling, WV by specialty
• Clinical Social Worker in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2026; 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.