Amanda Marie Fantaro, LSW, CSW-INTERN is a
Social Worker based in Las Vegas, Nevada. Amanda Marie Fantaro is licensed to practice in Nevada (license number 7529-S) and her current practice location is
1515 E Tropicana Ave # 580, Las Vegas, Nevada. She can be reached at her office (for appointments etc.) via phone at
(702) 898-5311.
NPI number for Amanda Marie Fantaro is 1821513110 and her current mailing address is 1515 E Tropicana Ave # 580, Las Vegas, Nevada. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1821513110.
Healthcare Provider's Profile
| Full Name | Amanda Marie Fantaro |
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| Gender | Female |
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| Speciality | Social Worker |
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| Location | 1515 E Tropicana Ave # 580, Las Vegas, Nevada |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1821513110
- Provider Enumeration Date: 08/07/2017
- Last Update Date: 07/21/2022
Medical Identifiers
Medical identifiers for Amanda Marie Fantaro such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1821513110 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 104100000X | Social Worker | 7529-S (Nevada) | 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 Marie Fantaro 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 Marie Fantaro, LSW, CSW-INTERN 1515 E Tropicana Ave # 580, Las Vegas, NV 89119-6517 Ph: (702) 898-5311 | Amanda Marie Fantaro, LSW, CSW-INTERN 1515 E Tropicana Ave # 580, Las Vegas, NV 89119-6517 Ph: (702) 898-5311 |
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