Individual
AMANDA M LOBATO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1001 W BROADWAY STE E&D, FARMINGTON, NM 87401-5638
(505) 327-4796
Mailing address
PO BOX 402, BLOOMFIELD, NM 87413-0402
(505) 860-3479
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
C-11390
NM
1041C0700X
Clinical Social Worker
CSW.09928770
CO
172V00000X
Community Health Worker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
B9311
—
NM
Enumeration date
10/26/2012
Last updated
03/16/2026
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