| Amanda Medina, LCSW | |
|
79427 Calle Palmeto, La Quinta, CA 92253-8554 | |
| (760) 972-6966 | |
| Not Available |
| Full Name | Amanda Medina |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 79427 Calle Palmeto, La Quinta, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487087037 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 27376 (California) | Primary |
| Entity Name | Grow Healthcare Group Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154994846 PECOS PAC ID: 1850774746 Enrollment ID: O20220809004080 |
| Mailing Address | Practice Location Address |
|---|---|
| Amanda Medina, LCSW 79427 Calle Palmeto, La Quinta, CA 92253-8554 Ph: (760) 972-6966 | Amanda Medina, LCSW 79427 Calle Palmeto, La Quinta, CA 92253-8554 Ph: (760) 972-6966 |
Ms. Lauree Ann Ramsden, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 79405 Highway 111 Ste 9, La Quinta, CA 92253 Phone: 713-380-8835 | |
Ms. Carol Sue Cornell, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 81841 Thoroughbred Trl, La Quinta, CA 92253 Phone: 760-619-2491 | |
Katherine Ann Deal, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 78900 Avenue 47 Ste 102, La Quinta, CA 92253 Phone: 951-515-2127 | |
Mr. Robert A Marquez, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 53848 Avenida Juarez, La Quinta, CA 92253 Phone: 760-698-8115 | |
Katherine Carrranza, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 47950 Dune Palms Rd, La Quinta, CA 92253 Phone: 760-771-8612 | |
Saleem Noorali, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 43100 Palm Royale Dr Apt 225, La Quinta, CA 92253 Phone: 832-788-9582 |