Weatherman, Amanda R

Weatherman, Amanda R is an sole proprietor health care provider with primary practice located at 130 S Indian River Dr Ste 202 , Fort Pierce FL 34950-4353. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Weatherman, Amanda R can be contacted via phone (772) 773-0229.

Contact Information

Primary practice address
130 S Indian River Dr Ste 202 Fort Pierce FL 34950-4353
Phone: (772) 773-0229
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X SW25317 Florida
Behavioral Health & Social Service Providers / Social Worker 104100000X

Profile Details

NPI number 1770843021
LBN Legal business name Weatherman, Amanda R
Credentials MSW, LCSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 21st, 2012
Last updated Jun 14th, 2026 - about 5 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770843021 NPPES
Florida MEDICAID 1770843021

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