Active NPI
Amanda Lynne Nalywaiko
- Social Worker
- Santa Rosa, CA
National Provider Identifier
1033525944
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 3725 Westwind Blvd
Suite 101
Santa Rosa, CA 95403-9081 - Phone
- (707) 565-5912
- Fax
- (707) 565-5980
- NPI assigned
- Jul 11, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
3725 Westwind Blvd
Suite 101
Santa Rosa, CA 95403-9081
Mailing address
3725 Westwind Blvd
Suite 101
Santa Rosa, CA 95403-9081
Phone (707) 565-5912
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Sonoma | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Case Management Agency
- Santa Rosa, CA
- NPI 1669802518
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1405036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1405036800000",
"number": "1033525944",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3725 WESTWIND BLVD",
"address_2": "SUITE 101",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954039081",
"telephone_number": "707-565-5912",
"fax_number": "707-565-5980"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3725 WESTWIND BLVD",
"address_2": "SUITE 101",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954039081",
"telephone_number": "707-565-5912",
"fax_number": "707-565-5980"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NALYWAIKO",
"first_name": "AMANDA",
"middle_name": "LYNNE",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-07-11",
"last_updated": "2014-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Rosa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.