Amanda M Roeben, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

94178 Issued in CA

Practice address

422 N Redington St
Hanford, CA 93230-4452

Phone

(559) 578-4058

Fax

(559) 242-9182

NPI assigned

Sep 15, 2016

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Hope Horizon Mental Health

  • Community/Behavioral Health Agency
  • Tulare, CA
  • NPI 1881719839
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1473897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626307200000",
    "number": "1043768229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1962",
            "city": "HANFORD",
            "state": "CA",
            "postal_code": "932321962",
            "telephone_number": "559-578-4058",
            "fax_number": "559-242-9182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "422 N REDINGTON ST",
            "city": "HANFORD",
            "state": "CA",
            "postal_code": "932304452",
            "telephone_number": "559-578-4058",
            "fax_number": "559-242-9182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROEBEN",
        "first_name": "AMANDA",
        "middle_name": "M",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-15",
        "last_updated": "2021-07-15",
        "certification_date": "2021-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "94178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miriah E Rodriguez
• Nely Rodriguez
• Ricardo Rodriguez
• Sandra Rodriguez
• Sixto Gilbert Rodriguez III
• Lisa Marie Rogers
• Rohini Joshi MD Inc
• David H Rolfsema, LCSW
• Tina Rolfsema
• Manuel Romero, PA-C

• Clinical Social Worker in Hanford, CA
• Providers in Hanford, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.