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NPI Code Detail

MEDICARE: MS. AMANDA CHRISTINE GARRICK L.C.S.W.

MEDICARE:  MS. AMANDA CHRISTINE GARRICK  L.C.S.W.
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 Worker22688CA
21041C0700XClinical Social Worker251783AK

General Provider Information

NPI Number : 1023378288
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. AMANDA CHRISTINE GARRICK L.C.S.W.
Provider Business Mailing Address
First Line : 140 LINDEN AVE APT 603
Second Line :
City : LONG BEACH
State : CA
Zip : 90802-4932
Country : US
Telephone Number : 562-544-9474
Fax Number :
Provider Business Practice Location Address
First Line : 140 LINDEN AVE
Second Line : 603
City : LONG BEACH
State : CA
Zip : 90802-4958
Country : US
Telephone Number : 562-544-9474
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/22/2012
Last Update Date : 05/04/2026

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Directions to “ MS. AMANDA CHRISTINE GARRICK L.C.S.W.” Practice Location

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