Amanda Sisco, :LCSW is a
Social Worker - Clinical based in Ontario, California. Amanda Sisco is licensed to practice in California (license number 110293) and her current practice location is
1420 S Milliken Ave Ste 508, Ontario, California. She can be reached at her office (for appointments etc.) via phone at
(909) 988-2418.
NPI number for Amanda Sisco is 1346893450 and her current mailing address is 1420 S Milliken Ave Ste 508, Ontario, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1346893450.
Healthcare Provider's Profile
Full Name | Amanda Sisco |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 1420 S Milliken Ave Ste 508, Ontario, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1346893450
- Provider Enumeration Date: 07/17/2019
- Last Update Date: 09/06/2022
Medical Identifiers
Medical identifiers for Amanda Sisco such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1346893450 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | ASW91044 (California) | Secondary |
104100000X | Social Worker | ASW91044 (California) | Secondary |
1041C0700X | Social Worker - Clinical | 110293 (California) | 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 Sisco 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 Sisco, :LCSW 1420 S Milliken Ave Ste 508, Ontario, CA 91761-2337 Ph: (909) 988-2418 | Amanda Sisco, :LCSW 1420 S Milliken Ave Ste 508, Ontario, CA 91761-2337 Ph: (909) 988-2418 |
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