Individual provider · NPI-1

Amanda Benlien, MSW

Social Worker, Clinical · Port Charlotte, FL

NPI number1790342020
StatusActive
Last updated in NPPESMay 14, 2025

Details

NPI
1790342020
Entity type
Individual (NPI-1)
Name
Amanda Benlien
Credential
MSW
Sex
Female
Sole proprietor
No
Enumeration date
May 22, 2019
Certification date
May 14, 2025
Last updated
May 14, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, Clinical24605FLYes

Practice location

21387 Meehan Ave
Port Charlotte, FL 33952-4204

Phone 413-329-2150

Mailing address

21387 Meehan Ave
Port Charlotte, FL 33952-4204

Phone 413-329-2150

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