Lobato, Amanda M

Lobato, Amanda M is an individual health care provider with primary practice located at 108 N Behrend Ave Ste G , Farmington NM 87401-8418. She recently has 3 registered licenses in different health care specialties including Other Service Providers / Community Health Worker, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Lobato, Amanda M can be contacted via phone (505) 860-3479.

Contact Information

Primary practice address
108 N Behrend Ave Ste G Farmington NM 87401-8418
Phone: (505) 860-3479
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X
Behavioral Health & Social Service Providers / Clinical 1041C0700X C-11390 New Mexico
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1174876296
LBN Legal business name Lobato, Amanda M
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2012
Last updated May 24th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174876296 NPPES
New Mexico MEDICAID B9311

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