| Amanda Hardwick, Lcsw, Pllc | |
|
325 N Franklin St H Christiansburg VA 24073-2986 | |
| (540) 260-3445 | |
| (540) 260-9071 |
| Full Name | Amanda Hardwick, Lcsw, Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 325 N Franklin St, Christiansburg, Virginia |
| Authorized Official Name and Position | Amanda Hardwick (COUNSELOR) |
| Authorized Official Contact | 5402603445 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Amanda Hardwick, Lcsw, Pllc 325 N Franklin St H Christiansburg VA 24073-2986 Ph: (540) 260-3445 | Amanda Hardwick, Lcsw, Pllc 325 N Franklin St H Christiansburg VA 24073-2986 Ph: (540) 260-3445 |
| NPI Number | 1932566049 |
|---|---|
| Provider Enumeration Date | 01/20/2016 |
| Last Update Date | 12/06/2016 |
| Medicare PECOS PAC ID | 5496051880 |
|---|---|
| Medicare Enrollment ID | O20160310001843 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932566049 | NPI | - | NPPES |
| 601077182 | Medicaid | VA | |
| F511 | Other | VA | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Amanda Michele Hardwick |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467841353 PECOS PAC ID: 7911203302 Enrollment ID: I20160310001939 |
| Provider Name | Sarah J Clark |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750817201 PECOS PAC ID: 6103198999 Enrollment ID: I20170814001705 |
| Provider Name | Connie Fisher Hopkins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245772912 PECOS PAC ID: 9830454834 Enrollment ID: I20180522001360 |
| Provider Name | Selina Harrison Kelly |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023505047 PECOS PAC ID: 5294084570 Enrollment ID: I20180820002194 |
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