MEDICARE: AMANDA LYNN TITONE ASW

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	104100000X	Social Worker	124974	CA

General Provider Information

NPI Number	:	1639793862
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMANDA LYNN TITONE ASW

Provider Business Mailing Address
First Line	:	7451 AUBURN BLVD STE C
Second Line	:	UNIT 1080
City	:	CITRUS HEIGHTS
State	:	CA
Zip	:	95610-2992
Country	:	US
Telephone Number	:	530-444-8880
Fax Number	:

Provider Business Practice Location Address
First Line	:	7451 AUBURN BLVD STE C
Second Line	:	UNIT 1080
City	:	CITRUS HEIGHTS
State	:	CA
Zip	:	95610-2992
Country	:	US
Telephone Number	:	530-444-8880
Fax Number	:

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

Provider Enumeration Date	:	06/03/2020
Last Update Date	:	11/02/2025

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