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:
Health care specialties
| Specialty | Code | License # | 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 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1174876296 | NPPES |
| New Mexico | MEDICAID | B9311 |
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