Amanda Wagenbach, LCSW is a
Social Worker - Clinical based in Gardena, California. Amanda Wagenbach is licensed to practice in * (Not Available) (license number ) and her current practice location is
1225 W 190th St Ste 255, Gardena, California. She can be reached at her office (for appointments etc.) via phone at
(310) 748-3772.
NPI number for Amanda Wagenbach is 1831834498 and her current mailing address is 1225 W 190th St Ste 255, Gardena, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1831834498.
Healthcare Provider's Profile
Full Name | Amanda Wagenbach |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 1225 W 190th St Ste 255, Gardena, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1831834498
- Provider Enumeration Date: 04/28/2022
- Last Update Date: 05/05/2022
Medical Identifiers
Medical identifiers for Amanda Wagenbach such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1831834498 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | (* (Not Available)) | 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 Wagenbach 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 Wagenbach, LCSW 1225 W 190th St Ste 255, Gardena, CA 90248-4342 Ph: (310) 748-3772 | Amanda Wagenbach, LCSW 1225 W 190th St Ste 255, Gardena, CA 90248-4342 Ph: (310) 748-3772 |
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