Amanda Leigh Gorlicki, LCSW
Social Worker, Clinical in Jacksonville, FL. Individual provider (NPI-1).
NPI number1295445476
StatusActive
Last updated in NPPESOct 12, 2026
Details
- NPI
- 1295445476
- Entity type
- Individual (NPI-1)
- Name
- Amanda Leigh Gorlicki
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 29, 2022
- Certification date
- Oct 12, 2026
- Last updated
- Oct 12, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Part B Yes · DME Yes · Home health No · Power mobility No · Hospice No
- 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 |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | SW18591 | FL | Yes |
Practice location
4500 San Pablo Rd SJacksonville, FL 32224-1865
Phone 904-953-2000
Mailing address
Po Box 860912Minneapolis, MN 55486-0912
Phone 904-953-2000
Other practice locations
3901 University Blvd S
Jacksonville, FL 32216-4312
Jacksonville, FL 32216-4312
Phone 904-732-6300
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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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