AMY FODOR (NPI# 1194992669) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194992669 |
| Entity Type | Individual |
| Full Name | AMY FODOR |
| Other Name | MISS AMY ELIZABETH DEWALT |
| Credential | LCSW |
| Practice Address |
13505 Us Highway 1 Sebastian FL 32958-3759 |
| Mailing Address |
1545 9th St Sw Vero Beach FL 32962-4312 |
| Practice Telephone | 7722578224 |
| Practice Fax Number | 7722133157 |
| Mailing Telephone | 7722578224 |
| Mailing Fax Number | 7722133157 |
| Enumeration Date | 2008-05-13 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
SW3798 | FL | Behavioral Health & Social Service Providers |
| N | 1041C0700X |
Social Worker Specialization: Clinical |
SW3798 | FL | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | STATE LICENSE | SW3798 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1545 9th St Sw, Vero Beach, FL 329624312 | 7722578224 | 7722133157 |
| Street Address |
13505 US HIGHWAY 1 |
| City | SEBASTIAN |
| State | FL |
| Zip Code | 32958-3759 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407853005 | Muhammad M Siddiqui | Specialist | 13505 Us Highway 1, Sebastian, FL 32958-3759 | 2005-06-28 |
| 1194274720 | Treasure Coast Community Health Inc | Clinic/Center | 13505 Us Highway 1, Sebastian, FL 32958-3759 | 2016-09-23 |
| 1285093062 | Betty C Chukwuma | Nurse Practitioner | 13505 Us Highway 1, Sebastian, FL 32958 | 2016-02-22 |
| 1871977538 | Alicia Sherrell Juste | Nurse Practitioner | 13505 Us Highway 1, Sebastian, FL 32958-3759 | 2015-07-13 |
| 1104253392 | Jane E Guiles | Counselor | 13505 Us Highway 1, Sebastian, FL 32958-3759 | 2013-10-02 |
| 1790039071 | Jackie Long | Psychiatry & Neurology | 13505 Us Highway 1, Sebastian, FL 32958-3759 | 2012-11-07 |
| 1811275373 | Elizabeth H. Griffin | Counselor | 13505 Us Highway 1, Sebastian, FL 32958-3759 | 2011-08-01 |
| 1528360526 | Catherine Ann Sheahan | Nurse Practitioner | 13505 Us Highway 1, Sebastian, FL 32958-3759 | 2010-11-23 |
| 1528215092 | Shahida P Moizuddin | General Practice | 13505 Us Highway 1, Sebastian, FL 32958-3759 | 2008-08-26 |
| 1538275573 | Itashia Cunningham | Nurse Practitioner | 13505 Us Highway 1, Sebastian, FL 32958-3759 | 2006-08-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952900714 | Maurice Vondell Wilson | Pharmacist | 7746 Bay Street, Sebastian, FL 32958 | 2020-10-22 |
| 1003426792 | Riverview Family Dental, Pa | Dentist | 1511 Us Highway 1, Suite 201, Sebastian, FL 32958 | 2020-08-06 |
| 1578102257 | Jessica Patrice Squiabro Pierce | Nurse Practitioner | 7765 144th St #4, Sebastian, FL 32958 | 2019-12-30 |
| 1952951949 | Renee Brothers | Occupational Therapist | Pelican Landing 13085 U.S. 1, Sebastian, FL 32958 | 2019-09-12 |
| 1457909681 | Tania M Schmitfranz | Physical Therapist | 1155 35h Lane, Suite 100, Vero Beach, FL 32958 | 2019-08-30 |
| 1255803649 | Christine A Festa | Family Medicine | 14060 Us Highway 1, Sebastian, FL 32958 | 2018-12-22 |
| 1639662174 | Wei Yin Vuong | Dentist | 1451 Sebastian Blvd Ste 180, Sebastian, FL 32958 | 2018-06-10 |
| 1194229724 | Courtney Carroll Frazier | Nurse Practitioner | 1627 Us Highway 1 Ste 207, Sebastian, FL 32958 | 2018-03-20 |
| 1386168771 | Main Street Counseling | Social Worker | 1069- Main Street, Ste 216, Sebastian, FL 32958 | 2017-07-28 |
| 1538516844 | Lynn Borlas | Speech-Language Pathologist | 1140 7th Court, Vero Beach, FL 32958 | 2016-05-17 |
| Find all providers in zip 32958 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497391882 | Felix Murad | Counselor | 417 South Business 77, Sebastian, TX 78594 | 2019-11-21 |
| 1083957609 | Connie Yvonne Allgood | Counselor | 920 Us Highway 1, Unit F, Sebastian, FL 32958 | 2013-04-02 |
| 1447523733 | Roxanne Linda Miller | Counselor | 1627 Us Highway 1 Ste 211, Sebastian, FL 32958-3464 | 2012-02-16 |
| 1790064202 | Tina Marie Giambanco | Counselor | 8860 44th Ave, Sebastian, FL 32958-7556 | 2011-08-15 |
| 1720251051 | Glenda A. Bates | Counselor | 934 Genesee Ave, Sebastian, FL 32958-6039 | 2008-04-08 |
| 1790838696 | Stephanie Braun | Counselor | 735 Commerce Center Dr, Suite A, Sebastian, FL 32958-3136 | 2007-01-22 |
| 1700938529 | Monica Leppma | Counselor | 735 Commerce Center Dr Ste A, Sebastian, FL 32958-3136 | 2007-01-18 |
| 1174694285 | Robert Leon Mcguigan | Counselor | 11325 Old Dixie Hwy, Sebastian, FL 32958-4645 | 2006-11-11 |
| 1649285388 | Anna Marie Alberti | Counselor | 1511 Us Highway 1, Suite 104, Sebastian, FL 32958-1611 | 2006-07-30 |
| 1336758374 | Allgood Counseling Center Pllc | Counselor | 920 Us Highway 1, Unit F, Sebastian, FL 32958 | 2020-07-27 |
| Find all providers in SEBASTIAN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.