Restoration Unfolded

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

RESTORATION UNFOLDED

Practice address

6837 40TH LN N
Pinellas Park, FL 33781-6178

Phone

(813) 431-3203

NPI assigned

Nov 13, 2023

Organization subpart

No

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

Authorized official

Name

Amanda Rebecca Blackwell, LCSWNPI 1346971579

Title

Director

Phone

(813) 431-3203

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Amanda Rebecca Blackwell, MSW, LCSW

  • Clinical Social Worker
  • Wesley Chapel, FL
  • NPI 1346971579
  NPD Authorized official

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

{
    "created_epoch": "1699833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714089600000",
    "number": "1992579692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7901 4TH ST N STE 300",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337024399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6837 40TH LN N",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "337816178",
            "telephone_number": "813-431-3203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORATION UNFOLDED",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-13",
        "last_updated": "2024-04-26",
        "certification_date": "2024-04-26",
        "status": "A",
        "authorized_official_last_name": "BLACKWELL",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "REBECCA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "813-431-3203",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chloe Resler
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• Restful Medical, Inc.
• Cristina Resto, MA, BCBA
• Restoring Wellness Primary Care LLC
• Breshea Revels
• Karen Elizabeth Revels
• Danel Onier Reyes Bautista
• Angela Ortega Reyes

• Clinical Social Worker in Pinellas Park, FL
• Providers in Pinellas Park, 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 Apr 26, 2024; 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.