| Amanda L Maguire, LCSW | |
| 
					468 Spirit Ranch Rd, Livermore, CO 80536-9242  | |
| (970) 473-2801 | |
| Not Available | 
| Full Name | Amanda L Maguire | 
|---|---|
| Gender | Female | 
| Speciality | Social Worker - Clinical | 
| Location | 468 Spirit Ranch Rd, Livermore, Colorado | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1518664390 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | CSW.09924996 (Colorado) | Primary | 
| Entity Name | Sondermind Provider Network Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1760854442 PECOS PAC ID: 9537572490 Enrollment ID: O20210113002826  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Amanda L Maguire, LCSW 468 Spirit Ranch Rd, Livermore, CO 80536-9242 Ph: (970) 473-2801  | Amanda L Maguire, LCSW 468 Spirit Ranch Rd, Livermore, CO 80536-9242 Ph: (970) 473-2801  | 
Dorothy Jimenez, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 601 Red Mountain Rd, Livermore, CO 80536 Phone: 970-568-2905  | |
Rianna Elizabeth Faith Laskovich, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 180 Deep Cut Rd, Livermore, CO 80536 Phone: 970-381-3690  | |
Mrs. Bailey Dutko, CSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 120 Mountain Lion Track Ct, Livermore, CO 80536 Phone: 970-999-4258  |