Amanda Medina, MSW
Social Worker in Pinellas Park, FL. Individual provider (NPI-1).
NPI number1124440441
StatusActive
Last updated in NPPESJan 7, 2014
Details
- NPI
- 1124440441
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Amanda Medina
- Credential
- MSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 7, 2014
- Last updated
- Jan 7, 2014
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 104100000X | Social Worker | – | – | Yes |
Practice location
3491 Gandy Blvd NPinellas Park, FL 33781-2658
Phone 727-547-0607 · Fax 727-456-6126
Mailing address
3491 Gandy Blvd NPinellas Park, FL 33781-2658
Phone 727-547-0607 · Fax 727-456-6126
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 80 Social Worker providers in Pinellas Park · All 1,473 providers in Pinellas Park
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