| Amanda Dodson Lcsw Llc | |
|
2390 Hudson St Denver CO 80207-3260 | |
| (720) 772-1266 | |
| Not Available |
| Full Name | Amanda Dodson Lcsw Llc |
|---|---|
| Speciality | Social Worker |
| Location | 2390 Hudson St, Denver, Colorado |
| Authorized Official Name and Position | Amanda Dodson (PRESIDENT OF LLC) |
| Authorized Official Contact | 7207721266 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Amanda Dodson Lcsw Llc 2390 Hudson St Denver CO 80207-3260 Ph: (720) 772-1266 | Amanda Dodson Lcsw Llc 2390 Hudson St Denver CO 80207-3260 Ph: (720) 772-1266 |
| NPI Number | 1548041023 |
|---|---|
| Provider Enumeration Date | 10/10/2023 |
| Last Update Date | 10/10/2023 |
| Certification Date | 10/10/2023 |
| Medicare PECOS PAC ID | 5698296556 |
|---|---|
| Medicare Enrollment ID | O20250307000763 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548041023 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Amanda L Dodson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932632445 PECOS PAC ID: 6103257613 Enrollment ID: I20200518002356 |
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