Amanda Mariscal, LCSW, MPH is a
Social Worker - Clinical based in Hurlburt Field, Florida. Amanda Mariscal is licensed to practice in Connecticut (license number 010181) and her current practice location is
113 Lielmanis Ave, Hurlburt Field, Florida. She can be reached at her office (for appointments etc.) via phone at
(850) 881-1020.
NPI number for Amanda Mariscal is 1720430051 and her current mailing address is 113 Lielmanis Ave, Hurlburt Field, Florida. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1720430051.
Healthcare Provider's Profile
Full Name | Amanda Mariscal |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 113 Lielmanis Ave, Hurlburt Field, Florida |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1720430051
- Provider Enumeration Date: 07/11/2016
- Last Update Date: 04/12/2024
Medical Identifiers
Medical identifiers for Amanda Mariscal such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1720430051 | NPI | - | NPPES |
0040404564 | Medicaid | CT | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YP2500X | Counselor - Professional | (Connecticut) | Secondary |
1041C0700X | Social Worker - Clinical | 010181 (Connecticut) | 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 Mariscal 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 Mariscal, LCSW, MPH 113 Lielmanis Ave, Hurlburt Field, FL 32544-5613 Ph: () - | Amanda Mariscal, LCSW, MPH 113 Lielmanis Ave, Hurlburt Field, FL 32544-5613 Ph: (850) 881-1020 |
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