IndividualActive
Amy Bondurant, LCSW
NPI 1396547170 · Clinical Social Worker · Crestview, FL
Provider details
- NPI number
- 1396547170
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Clinical Social Worker1041C0700X
Behavioral Health & Social Service Providers
Practice location
824 N Ferdon Blvd
Crestview, FL 32536-2157
Phone: (850) 603-0941
Approximate (ZIP-level) locationGet directions
Mailing address
824 N Ferdon Blvd
Crestview, FL 32536-2157
Registry dates
- Enumerated
- 2025-03-25
- Last updated
- 2025-03-25
- Certified
- 2025-03-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.