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Amanda Gordon , CACIII

Social Worker β€’ Clearwater, FL

Active NPI 1780076356 Individual Practitioner Female Practitioner
Practice location in NPPES

1437 S Belcher Rd
Clearwater, FL 337642829

Call 7275244464 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1437 S Belcher Rd

Clearwater, FL 337642829

Telephone 7275244464
Fax 7275387272
Organization at the Same NPPES Address or Phone
Genoa Healthcare Of Fl Llc Facility NPI 1487665980

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2015

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Clearwater and Florida

87 active clinicians are listed under Social Worker with a practice address in Clearwater, FL (5,486 in Florida).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Clearwater

0% of these 87 clinicians have the CMS telehealth indicator.

0% of these 87 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2021-05-13
Social Worker Primary Specialty

NUCC Taxonomy Code: 104100000X

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Counselor - Addiction (Substance Use Disorder)

NUCC Taxonomy Code: 101YA0400X

License # reported to NPPES CO 6848
Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Florida Department of Health Medical Quality Assurance.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

13 listed
Manju Chandran

Nurse Practitioner - Psychiatric/Mental Health

NPI 1245926146
Dawn Chui , APRN, PMHNP-BC

Nurse Practitioner - Psychiatric/Mental Health

NPI 1053064519

Advanced Practice Registered Nurse, Psychiatric-Mental Health Nurse Practitioner (Board Certified)

Nina Eliacin , PMHNP-BC

Nurse Practitioner - Psychiatric/Mental Health

NPI 1205524931

Psychiatric-Mental Health Nurse Practitioner (Board Certified)

Jennifer Geigan , LCSW

Social Worker - Clinical

NPI 1124522289

Licensed Clinical Social Worker

Jennifer Hancock

Nurse Practitioner - Psychiatric/Mental Health

NPI 1164091542
Dr. William Hervey , MD

Psychiatry & Neurology - Psychiatry

NPI 1063647006

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
πŸ“
Updated Practice Location May 13, 2021

Registered at 1437 S BELCHER RD, CLEARWATER, FL 337642829 (Tel: 7275244464)

βœ…
NPI Profile Active February 19, 2015

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) February 19, 2015

Registered at 1004 CARBON, TRINIDAD, CO 810823664 (Tel: 7198464481)

πŸ“
Business Mailing Address (Initial Record) February 19, 2015

Registered at 1004 CARBON, TRINIDAD, CO 810823664 (Tel: 7198464481)

πŸ‘€
Provider Name / Credentials (Initial Record) February 19, 2015

Recorded as AMANDA GORDON, CACIII

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 19, 2015

Counselor (license number reported to NPPES: CO 6848)

🟒
Initial NPI Registration & Enumeration February 19, 2015

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1780076356
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 19, 2015
Last Update: May 13, 2021
Sole Proprietor: Yes

Mailing Address

1004 Carbon

Trinidad, CO 810823664

Phone: 7198464481

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.