MEDICARE: AMANDA BARTON LCSW-C

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
1	1041C0700X	Clinical Social Worker	30066	MD

General Provider Information

NPI Number	:	1851085146
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMANDA BARTON LCSW-C

Provider Business Mailing Address
First Line	:	2604 JUDLEE AVE
Second Line	:
City	:	OCEAN CITY
State	:	MD
Zip	:	21842-5430
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2604 JUDLEE AVE
Second Line	:
City	:	OCEAN CITY
State	:	MD
Zip	:	21842-5430
Country	:	US
Telephone Number	:	443-243-9609
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/08/2023
Last Update Date	:	12/02/2025

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