AMANDA R WEATHERMAN (MSW, LCSW) – Clinical Social Worker, NPI 1770843021

AMANDA R WEATHERMAN (MSW, LCSW) is a healthcare provider. based in Fort pierce, Florida. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials MSW, LCSW. They hold a License No. SW25317 (FL). The NPI Number for AMANDA R WEATHERMAN (MSW, LCSW) is 1770843021

Main info

Female
Sole Proprietor
4 Years Of Experience
Name
AMANDA R WEATHERMAN (MSW, LCSW)
NPI
1770843021
Phone
(772) 579-0721
Address
2814 S US HIGHWAY 1 STE D4
Enumeration Date
21 May 2012
Last Update Date
26 November 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2022 (4 years ago)
PAC ID
1759861537
Professional Enrollment ID
I20260219002068
Address ID
FL331361104MI1951XAVEX411
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness85
Years active:14State licenses:1Digital endpointsOther names

3,374 CLINICAL SOCIAL WORKER in FL

Provider Addresses for AMANDA R WEATHERMAN (MSW, LCSW)

  • 2814 S US HIGHWAY 1 STE D4

    FORT PIERCE, FL 349828110

    Phone: (772) 579-0721

    Type: Mailing

  • 2618 TOLMAN AVE SE

    PALM BAY, FL 329097220

    Phone: (772) 579-0721

    Type: Mailing

  • 130 S Indian River Dr Ste 202

    Fort Pierce, FL 349504353

    Phone: (772) 773-0229

    Type: Location

  • 1951 NW 7TH AVE FL 3

    MIAMI, FL 331361104

    Phone: (772) 489-4726

    Type: Location

  • 2222 COLONIAL RD STE 100

    FORT PIERCE, FL 349505309

    Phone: (772) 489-4726

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2026-02-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20260219002068IClinical Social WorkerFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 34982)

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Reviews

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Frequently asked questions

Is AMANDA R WEATHERMAN (MSW, LCSW) listed with a National Provider Identifier?
Yes — AMANDA R WEATHERMAN (MSW, LCSW) has NPI 1770843021 on file in the registry.
Is AMANDA R WEATHERMAN (MSW, LCSW) shown as active in public data?
Registry records indicate AMANDA R WEATHERMAN (MSW, LCSW) maintains an active NPI.
How would a patient describe AMANDA R WEATHERMAN (MSW, LCSW)'s focus?
For AMANDA R WEATHERMAN (MSW, LCSW), the primary taxonomy reads as Clinical Social Worker. Clinical services aligned with this taxonomy classification.
What practice footprint exists for AMANDA R WEATHERMAN (MSW, LCSW)?
Travel planning: use Fort Pierce, Florida as the reference point for AMANDA R WEATHERMAN (MSW, LCSW), then confirm.
When was this NPI issued?
Enumeration for AMANDA R WEATHERMAN (MSW, LCSW) is noted as May 21, 2012 where the registry provides it.

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