Amanda Breana Vann, ASW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

572 N Arrowhead Ave Ste 200
San Bernardino, CA 92401-1212

Phone

(303) 266-2700

NPI assigned

Jul 8, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1373241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610064000000",
    "number": "1003257965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "572 N ARROWHEAD AVE SUITE #200",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "92401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "572 N ARROWHEAD AVE STE 200",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924011212",
            "telephone_number": "303-266-2700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1950 S Sunwest Ln",
            "address_purpose": "LOCATION",
            "city": "San Bernardino",
            "state": "CA",
            "postal_code": "924083258",
            "country_code": "US",
            "telephone_number": "909-252-4010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VANN",
        "first_name": "AMANDA",
        "middle_name": "BREANA",
        "credential": "ASW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-08",
        "last_updated": "2021-01-08",
        "certification_date": "2021-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KIASER PERMANENTE",
            "identifier": "0010000228",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michele H Vandyke, D.C.
• Sofiya Vandysheva
• Cate-Lin Vang
• Evalina Vang
• Stephen A Vanhook
• Jade Vann
• Whikesha Denise Vann
• Vantage Oncology
• Vaprnet Anesthesiology Network
• Maria Vargas Serrano

• Clinical Social Worker in San Bernardino, CA
• Providers in San Bernardino, 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 Jan 8, 2021; 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.