Individual
AMANDA M ORTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
12550 NEW BRITTANY BLVD, FORT MYERS, FL 33907-3655
(239) 343-9180
(239) 343-9188
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 343-9180
(239) 343-9188
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
SW20677
FL
104100000X
Social Worker
253831
KY
1041C0700X
Clinical Social Worker
253831
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
125212600
—
FL
05
—
7100648970
—
KY
Enumeration date
10/08/2019
Last updated
01/22/2025
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