NPI 1699164483 · live from the CMS NPI Registry
Amanda S. Ngola LCSW LLC
Social Worker, Clinical in Madison, WI. National Provider Identifier 1699164483, active.
NPI record
| NPI | 1699164483 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 740 Regent St Ste 202, Madison, WI 53715 |
| Practice phone | 608-239-5071 |
| Enumerated | January 15, 2015 |
| Last updated | January 15, 2015 |
| Authorized official | Amanda Ngola, Licensed Clinical Social Worker |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker, Clinical primary | 1041C0700X | 6967-123 (WI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.