Active NPIIndividual provider

Amanda Mariscal, LCSW, MPH

Social Worker, Clinical in Hurlburt Field, Florida

NPI Number1720430051
Practice location
113 Lielmanis Ave, Hurlburt Field, FL 32544-5613
Fax
—
Last updated
April 12, 2024

Amanda Mariscal is a Social Worker, Clinical based in Hurlburt Field, FL. Amanda Mariscal practices in Hurlburt Field, FL and has the professional credentials of LCSW, MPH. The NPI Number for Amanda Mariscal is 1720430051 and holds a License No. 010181 (CT). The current practice location address for Amanda Mariscal is 113 Lielmanis Ave, Hurlburt Field, FL 32544-5613 and can be reached out via phone at 850-881-1020.

Provider Profile Details

NPI Number
1720430051
Provider Name
Amanda Mariscal
Credential
LCSW, MPH
Provider Entity Type
Individual
Gender
Female
Address
113 Lielmanis Ave, Hurlburt Field, FL 32544-5613
Phone Number
850-881-1020
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
July 11, 2016
Last Update Date
April 12, 2024
Certification Date
April 12, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
113 Lielmanis Ave
Hurlburt Field, FL 32544-5613
State
Florida
Zip
32544-5613
Phone Number
850-881-1020
Hurlburt Field, FL 32544Get directions →

Provider Business Mailing Address Details

Address
113 Lielmanis Ave
Hurlburt Field, FL 32544-5613
City
Hurlburt Field
State
FL
Zip
32544-5613

License Information

License State (1)
CT
Taxonomy (1)
Counselor, Professional · 101YP2500X
License Number (2)
010181
License State (2)
CT
Taxonomy (2)
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Social Worker, Clinical providers near Hurlburt Field, FL

View all Social Worker, Clinical providers in Hurlburt Field →
No other indexed providers in Hurlburt Field yet.

Frequently Asked Questions

What is the NPI number of Amanda Mariscal, LCSW, MPH?

The NPI number of Amanda Mariscal, LCSW, MPH is 1720430051. It was assigned on July 11, 2016 and is currently active in the NPPES registry.

What is the specialty of Amanda Mariscal, LCSW, MPH?

Amanda Mariscal, LCSW, MPH is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in CT under license number 010181.

Where does Amanda Mariscal, LCSW, MPH practice?

The practice location is 113 Lielmanis Ave, Hurlburt Field, FL 32544-5613. The office can be reached at 850-881-1020 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1720430051 directly on the NPPES registry website.

Browse related providers