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NPI 1992579692ActiveOrganization· Social Worker, Clinical· Pinellas Park, FL

Social Worker, Clinical in Pinellas Park, Florida, registered in NPPES in November 2023. The authorized official on file is Amanda Rebecca Blackwell, LCSW, Director.

Overview

NPI1992579692
StatusActive
Entity typeOrganization
NPI issuedNov 13, 2023
Last updated in NPPESApr 26, 2024
Certified by providerApr 26, 2024

Specialties and licenses

TaxonomyCodeLicenseState
Social Worker, Clinical Primary1041C0700X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Social Worker, Clinical providers in Pinellas Park

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