Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Amanda Blackwell, PLLC

Organization Clinical Social Worker · NPI 1235881004

Amanda Blackwell, PLLC is a Clinical Social Worker in Clemmons, North Carolina. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6255 Towncenter Dr Ste 893
Clemmons, NC 27012-9376
Phone: (336) 794-6734
Fax: (336) 792-2671
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1235881004
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Frances Blackwell — Owner · (919) 274-3856
NPI enumeratedJanuary 24, 2022
Last updated in NPPESApril 18, 2024
Certification dateApril 18, 2024
Mailing address815 Madison Ave, Winston Salem, NC 27103-3746

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