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NPI Code Detail

MEDICARE: MRS. AMY ELIZABETH MCMANAMY LMSW, LIMHP

MEDICARE: MRS. AMY ELIZABETH MCMANAMY LMSW, LIMHP
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
1104100000XSocial Worker06596IA
21041C0700XClinical Social Worker7902NE

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1NA1051OTHERNEMEDICARE PTAN

General Provider Information

NPI Number : 1568553956
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. AMY ELIZABETH MCMANAMY LMSW, LIMHP
Provider Business Mailing Address
First Line : 200 GOLD CIR STE 120
Second Line :
City : DAKOTA DUNES
State : SD
Zip : 57049-5501
Country : US
Telephone Number : 605-217-0700
Fax Number : 605-217-0701
Provider Business Practice Location Address
First Line : 3250 PLAZA DR
Second Line :
City : SOUTH SIOUX CITY
State : NE
Zip : 68776-3144
Country : US
Telephone Number : 402-412-4220
Fax Number : 402-494-1365
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/28/2006
Last Update Date : 02/27/2026

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