Amanda Blackwell, PLLC
NPI 1235881004ActiveOrganization· Social Worker, Clinical· Clemmons, NC
Social Worker, Clinical in Clemmons, North Carolina, registered in NPPES in January 2022. The authorized official on file is Frances Amanda Blackwell, LCSW, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1235881004 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 24, 2022 |
| Last updated in NPPES | Apr 18, 2024 |
| Certified by provider | Apr 18, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (NC) |
|---|
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