Amanda Medina, LCSW | |
79427 Calle Palmeto, La Quinta, CA 92253-8554 | |
(760) 972-6966 | |
Not Available |
Full Name | Amanda Medina |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 79427 Calle Palmeto, La Quinta, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1487087037 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1041C0700X | Social Worker - Clinical | 27376 (California) | Primary |
Entity Name | Grow Healthcare Group Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154994846 PECOS PAC ID: 1850774746 Enrollment ID: O20220809004080 |
Mailing Address | Practice Location Address |
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Amanda Medina, LCSW 79427 Calle Palmeto, La Quinta, CA 92253-8554 Ph: (760) 972-6966 | Amanda Medina, LCSW 79427 Calle Palmeto, La Quinta, CA 92253-8554 Ph: (760) 972-6966 |
Ms. Carol Sue Cornell, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 81841 Thoroughbred Trl, La Quinta, CA 92253 Phone: 760-619-2491 | |
Mr. Robert A Marquez, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 53848 Avenida Juarez, La Quinta, CA 92253 Phone: 760-698-8115 | |
Katherine Carrranza, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 47950 Dune Palms Rd, La Quinta, CA 92253 Phone: 760-771-8612 | |
Saleem Noorali, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 43100 Palm Royale Dr Apt 225, La Quinta, CA 92253 Phone: 832-788-9582 | |
Briana Brambila, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 46441 Roudel Ln, La Quinta, CA 92253 Phone: 760-342-5380 | |
Ms. Nancy Carol Bradbury, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 54835 Avenida Herrera, La Quinta, CA 92253 Phone: 760-777-1902 |