Juan Manuel Amezcua
Social Worker, Clinical in Lancaster, CA. Individual provider (NPI-1).
NPI number1285387258
StatusActive
Last updated in NPPESJan 15, 2026
Details
- NPI
- 1285387258
- Entity type
- Individual (NPI-1)
- Name
- Juan Manuel Amezcua
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jan 31, 2022
- Certification date
- Jan 15, 2026
- Last updated
- Jan 15, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | – | – | Yes |
| 171M00000X | Case Manager/Care Coordinator | – | – | |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
44459 10th St WLancaster, CA 93534-3324
Phone 661-726-2630
Mailing address
43013 38th St WLancaster, CA 93536-4905
Phone 661-495-8384
Other practice locations
16940 Highway 14
Mojave, CA 93501-1238
Mojave, CA 93501-1238
Phone 661-824-5020
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