| Amanda J Chaney Msw Llc | |
|
6650 S Vine St Ste 215 Centennial CO 80121-2763 | |
| (720) 235-5393 | |
| Not Available |
| Full Name | Amanda J Chaney Msw Llc |
|---|---|
| Speciality | Social Worker |
| Location | 6650 S Vine St Ste 215, Centennial, Colorado |
| Authorized Official Name and Position | Amanda J Chaney (SOLE MEMBER OWNER) |
| Authorized Official Contact | 7202355393 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Amanda J Chaney Msw Llc 6650 S Vine St Ste 215 Centennial CO 80121-2763 Ph: (720) 235-5393 | Amanda J Chaney Msw Llc 6650 S Vine St Ste 215 Centennial CO 80121-2763 Ph: (720) 235-5393 |
| NPI Number | 1033662093 |
|---|---|
| Provider Enumeration Date | 07/26/2016 |
| Last Update Date | 06/29/2023 |
| Certification Date | 06/29/2023 |
| Medicare PECOS PAC ID | 1355635772 |
|---|---|
| Medicare Enrollment ID | O20160809000053 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033662093 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | CSW.09924296 (Colorado) | Primary |
| Provider Name | Amanda J Chaney |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487058426 PECOS PAC ID: 3072807494 Enrollment ID: I20160809000129 |
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