Individual
AMANDA R WEATHERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
1951 NW 7TH AVE FL 3, MIAMI, FL 33136-1104
(772) 489-4726
Mailing address
2618 TOLMAN AVE SE, PALM BAY, FL 32909-7220
(772) 579-0721
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
SW25317
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1770843021
—
FL
Enumeration date
05/21/2012
Last updated
11/26/2025
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