Amanda Rebecca Blackwell, MSW, LCSW
Social Worker, Clinical in Wesley Chapel, FL. Individual provider (NPI-1).
NPI number1346971579
StatusActive
Last updated in NPPESApr 26, 2024
Details
- NPI
- 1346971579
- Entity type
- Individual (NPI-1)
- Name
- Amanda Rebecca Blackwell
- Credential
- MSW, LCSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 20, 2022
- Certification date
- Apr 26, 2024
- Last updated
- Apr 26, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | SW20922 | FL | Yes |
Practice location
29149 Chapel Park DrWesley Chapel, FL 33543-4423
Phone 813-575-8199
Mailing address
6837 40th Ln NPinellas Park, FL 33781-6178
Phone 727-741-5684
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