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NPI Code Detail

MEDICARE: MS. AMANDA J MORALES LCSW 27881

MEDICARE: MS. AMANDA J MORALES LCSW 27881
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker27881CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1477707503
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. AMANDA J MORALES LCSW 27881
Provider Business Mailing Address
First Line : 5060 SHOREHAM PL STE 330
Second Line :
City : SAN DIEGO
State : CA
Zip : 92122-5976
Country : US
Telephone Number : 877-840-6956
Fax Number : 619-383-6701
Provider Business Practice Location Address
First Line : 5060 SHOREHAM PL STE 330
Second Line :
City : SAN DIEGO
State : CA
Zip : 92122-5976
Country : US
Telephone Number : 877-840-6956
Fax Number : 619-383-6701
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/17/2008
Last Update Date : 11/15/2023

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