Amanda Leigh Roark, MSW, LCSW
Social Worker, Clinical in Rio Rancho, NM. Individual provider (NPI-1).
NPI number1982197042
StatusActive
Last updated in NPPESAug 18, 2026
Details
- NPI
- 1982197042
- Entity type
- Individual (NPI-1)
- Name
- Amanda Leigh Roark
- Credential
- MSW, LCSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 12, 2018
- Certification date
- Aug 18, 2026
- Last updated
- Aug 18, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | C-11572 | NM | Yes |
Practice location
4011 Barbara Loop Se Ste 106Rio Rancho, NM 87124-1040
Phone 505-506-8409
Mailing address
10231 Country Meadows Dr NwAlbuquerque, NM 87114-3512
Phone 505-506-8409
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