Active NPI
Amanda Dawn Patterson, ASW
- Social Worker
- Roseville, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 85024
- Practice address
- 2 Medical Plaza Dr
Roseville, CA 95661-3043 - Phone
- (916) 773-8711
- NPI assigned
- Mar 11, 2019
- Last updated
- Jan 25, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 85024 | CA | Primary |
| Clinical Social Worker | 1041C0700X | ASW85024 | CA |
Addresses
Primary practice location
2 Medical Plaza Dr
Roseville, CA 95661-3043
Mailing address
PO Box 255228
Sacramento, CA 95865-5228
Other practice location 1
8912 Volunteer Ln
Sacramento, CA 95826
Phone (916) 662-0426
Other practice location 2
2143 Hurley Way Suite
Suite 240
Sacramento, CA 95825-9582
Phone (916) 440-0089 ext. 202
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2 Medical Plaza Dr
Roseville, CA 95661-3042
2800 L St
Sacramento, CA 95816-5616
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 85024 | CA | MD | Social Worker |
| ASW85024 | CA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sutter Valley Medical Foundation | Current | Accepting new patients | |
| Sunburst Projects | Current | Accepting new patients | |
| Sutter Valley Medical Foundation | Current | Accepting new patients | |
| Sutter Valley Medical Foundation | Current | Accepting new patients |
Locations
2 Medical Plaza Dr
Ste 205
Roseville, CA 95661
Phone (916) 773-8711
2143 Hurley Way
Ste 240
Sacramento, CA 95825
Phone 9164400089 ext. 202
2800 L St
Ste 500
Sacramento, CA 95816
Phone (916) 454-6850
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Sutter Gould Medical Foundation
- Multi-Specialty Clinic/Center
- Modesto, CA
- NPI 1669846986
-
- Community/Behavioral Health Agency
- Sacramento, CA
- NPI 1306230123
-
dba Sutter Regional Medical Foundation
- Multi-Specialty Clinic/Center
- Fairfield, CA
- NPI 1184859894
-
- Durable Medical Equipment & Medical Supplies
- Tracy, CA
- NPI 1720930712
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1552262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674604800000",
"number": "1073071825",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 255228",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958655228"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 MEDICAL PLAZA DR",
"city": "ROSEVILLE",
"state": "CA",
"postal_code": "956613043",
"telephone_number": "916-773-8711"
}
],
"practiceLocations": [
{
"address_1": "8912 Volunteer Ln",
"address_purpose": "LOCATION",
"city": "Sacramento",
"state": "CA",
"postal_code": "95826",
"country_code": "US",
"telephone_number": "916-662-0426",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2143 Hurley Way Suite",
"address_2": "Suite 240",
"address_purpose": "LOCATION",
"city": "Sacramento",
"state": "CA",
"postal_code": "958259582",
"country_code": "US",
"telephone_number": "916-440-0089 x202",
"fax_number": "926-440-1208",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PATTERSON",
"first_name": "AMANDA",
"middle_name": "DAWN",
"name_prefix": "Ms.",
"credential": "ASW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-11",
"last_updated": "2023-01-25",
"certification_date": "2023-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": "85024",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "ASW85024",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Roseville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.