MEDICARE: MRS. AMANDA MARIE DUNN LCSW-S

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	1041S0200X	School Social Worker

General Provider Information

NPI Number	:	1861677213
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. AMANDA MARIE DUNN LCSW-S

Provider Business Mailing Address
First Line	:	127 HIDDEN LAKE DR.
Second Line	:
City	:	LEAGUE CITY
State	:	TX
Zip	:	77573
Country	:	US
Telephone Number	:	281-508-1831
Fax Number	:

Provider Business Practice Location Address
First Line	:	1500 MARINA BAY DR BLDG 128
Second Line	:
City	:	CLEAR LAKE SHORES
State	:	TX
Zip	:	77565-2575
Country	:	US
Telephone Number	:	409-204-7682
Fax Number	:

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

Provider Enumeration Date	:	01/04/2008
Last Update Date	:	06/28/2025

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