| Stephan Idris Mambazo, MSW, LICSW-PIP, CGRS | |
|
2541 College St, Montgomery, AL 36106-2124 | |
| (334) 207-7657 | |
| Not Available |
| Full Name | Stephan Idris Mambazo |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 2541 College St, Montgomery, Alabama |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609263052 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 3796C (Alabama) | Primary |
| 104100000X | Social Worker | SW009851L (Pennsylvania) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Stephan Idris Mambazo, MSW, LICSW-PIP, CGRS 2541 College St, Montgomery, AL 36106-2124 Ph: (334) 207-7657 | Stephan Idris Mambazo, MSW, LICSW-PIP, CGRS 2541 College St, Montgomery, AL 36106-2124 Ph: (334) 207-7657 |
Mrs. Lauren Janzen Amacker, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 233 Winton Blount Loop, Montgomery, AL 36117 Phone: 334-341-5788 | |
Ms. Debra Fay Morris, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 215 Perry Hill Rd, Montgomery, AL 36109 Phone: 334-272-4670 Fax: 334-273-6294 | |
Ms. Brittany Leshell Borders, CMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 215 Perry Hill Rd, Montgomery, AL 36109 Phone: 334-272-4670 | |
Ashley Edwards, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 23 N California St, Montgomery, AL 36107 Phone: 404-805-3358 | |
Ms. Leigh Anne Fagin, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 7125 University Ct, Montgomery, AL 36117 Phone: 334-239-2622 | |
Linda Pena-resto, LISW-CP Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 300 Twining St, Montgomery, AL 36112 Phone: 334-953-5055 | |
Miss Randi Certrina Hartsfield, LGSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 215 Perry Hill Rd, Montgomery, AL 36109 Phone: 334-272-4670 Fax: 334-273-6294 |