Amanda Peterson, LCSW is a
Social Worker - Clinical based in Nellis Afb, Nevada. Amanda Peterson is licensed to practice in Nevada (license number 10278-C) and her current practice location is
4700 Las Vegas Blvd N, Nellis Afb, Nevada. She can be reached at her office (for appointments etc.) via phone at
(702) 653-2273.
NPI number for Amanda Peterson is 1528420486 and her current mailing address is 4700 Las Vegas Blvd N, Nellis Afb, Nevada. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1528420486.
Healthcare Provider's Profile
| Full Name | Amanda Peterson |
|---|
| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 4700 Las Vegas Blvd N, Nellis Afb, Nevada |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1528420486
- Provider Enumeration Date: 03/22/2016
- Last Update Date: 08/08/2023
Medical Identifiers
Medical identifiers for Amanda Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1528420486 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | 10278-C (Nevada) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Amanda Peterson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Amanda Peterson, LCSW
4700 Las Vegas Blvd N,
Nellis Afb, NV 89191-6600
Ph: (702) 653-2273 | Amanda Peterson, LCSW
4700 Las Vegas Blvd N,
Nellis Afb, NV 89191-6600
Ph: (702) 653-2273 |
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