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NPI Code Detail

MEDICARE: AMANDA MARETOLI LCSW

MEDICARE: AMANDA MARETOLI LCSW
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 Worker2024003163MO

General Provider Information

NPI Number : 1780519223
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMANDA MARETOLI LCSW
Provider Business Mailing Address
First Line : 724 N 22ND ST
Second Line :
City : SAINT JOSEPH
State : MO
Zip : 64506-2604
Country : US
Telephone Number : 816-364-1501
Fax Number : 816-364-6735
Provider Business Practice Location Address
First Line : 724 N 22ND ST
Second Line :
City : SAINT JOSEPH
State : MO
Zip : 64506-2604
Country : US
Telephone Number : 816-364-1501
Fax Number : 816-364-6735
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/16/2026
Last Update Date : 06/16/2026

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Directions to “ AMANDA MARETOLI LCSW” Practice Location

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