Amanda Noelle Poeschel, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

64282 Issued in CA

Practice address

8697 La Mesa Blvd Ste C-543
La Mesa, CA 91942-9565

Phone

(619) 977-7869

NPI assigned

Jul 12, 2021

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1626048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690502400000",
    "number": "1831761626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8697 LA MESA BLVD STE C-543",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919429565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8697 LA MESA BLVD STE C-543",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919429565",
            "telephone_number": "619-977-7869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POESCHEL",
        "first_name": "AMANDA",
        "middle_name": "NOELLE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-12",
        "last_updated": "2023-07-28",
        "certification_date": "2023-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "64282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "SimplePractice",
            "affiliation": "N",
            "endpointDescription": "Counseling",
            "address_1": "8697 La Mesa Blvd Ste C-543",
            "city": "LA Mesa",
            "state": "CA",
            "country_code": "US",
            "postal_code": "919429565",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Playful Expressions Child and Family Therapy
• Karlyn Marie Pleasants, PSY.D.
• Marcelo Alberto Podesta, LMFT
• Michael Podlenski, PTA, ATC
• Alexandria Poe
• Gina Angel Pollack, LCSW
• Arlene E Pollard, MSSW LCSW
• Beatriz Ponce Vazquez
• Michelle Pond, ATC, LAT
• Denia Pondexter

• Clinical Social Worker in La Mesa, CA
• Providers in La Mesa, 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 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.