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NPI Code Detail

MEDICARE: AMANDA CIANCI LCSW

MEDICARE: AMANDA CIANCI 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 Worker126111CA

General Provider Information

NPI Number : 1356040877
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMANDA CIANCI LCSW
Provider Business Mailing Address
First Line : 7701 WARNER AVE APT G122
Second Line :
City : HUNTINGTON BEACH
State : CA
Zip : 92647-4764
Country : US
Telephone Number : 203-570-4723
Fax Number :
Provider Business Practice Location Address
First Line : 7701 WARNER AVE APT G122
Second Line :
City : HUNTINGTON BEACH
State : CA
Zip : 92647-4764
Country : US
Telephone Number : 203-570-4723
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/23/2023
Last Update Date : 07/03/2025

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Directions to “ AMANDA CIANCI LCSW” Practice Location

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