Amanda Wilder is a Clinical in Albuquerque, New Mexico. Amanda Wilder practices all healthcare services and medical treatments related to Clinical. The NPI Number for Amanda Wilder is 1467436386. The last update date is 2021-11-30.
Amanda Wilder's current location address is 120 Aliso Dr Se, Albuquerque, New Mexico. You can contact this provider via phone number 5057507727. The mailing address for Amanda Wilder is 120 Aliso Dr Se, Albuquerque, New Mexico. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Amanda Wilder |
|---|---|
| Address | 120 Aliso Dr Se, Albuquerque, New Mexico |
| Phone Number | 5057507727 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1467436386 |
|---|---|
| Provider Enumeration Date | 2005-12-05 |
| Last Updated Date | 2021-11-30 |
Provider Mailing Address Detail
| Address | 120 Aliso Dr Se |
|---|---|
| City | Albuquerque |
| State | New Mexico (NM) |
| Post Code | 871082693 |
| Phone Number | 5057507727 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | I-06735 |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 24786519 | NM | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Amanda Wilder by the Centers for Medicare & Medicaid Services?
The Amanda Wilder has been assigned the NPI (National Provider Identifier) 1467436386 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Amanda Wilder?
The Amanda Wilder is situated at 120 Aliso Dr Se, in the city of Albuquerque, state of NM, with the zip code 871082693.
What is the area of specialization for Amanda Wilder, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Amanda Wilder is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 1041C0700X.
On what date did Amanda Wilder receive its 1467436386 assignment from the Centers for Medicare & Medicaid Services?
The Amanda Wilder was assigned its 1467436386 on 2005-12-05, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Amanda Wilder most recently updated or refreshed?
The details pertaining to the Amanda Wilder, including its address, specialty, and other relevant information, were last updated or refreshed on 2021-11-30.