Individual provider Active NPI

Amaranda Lilac Sakamoto, LCSW

  • Clinical Social Worker
  • Fort Hood, TX
National Provider Identifier
1093177289
Registry record updated Aug 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
95023 Issued in CA
Practice address
Embedded Behavioral Health Team 5/6 Kennedy Clinic
Building 2255 761St Tank Battalion
Fort Hood, TX 76528
Phone
(323) 595-0750
NPI assigned
Mar 25, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 17, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 21194 FL
Clinical Social Worker 1041C0700X 95023 CA Primary

Addresses

Primary practice location

Embedded Behavioral Health Team 5/6 Kennedy Clinic
Building 2255 761St Tank Battalion
Fort Hood, TX 76528

Mailing address

29 Stately Shoals TRL
Ponte Vedra, FL 32081-5052
Phone (323) 595-0750

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

State licenses

LicenseStateTypeSpecialty
95023CAMDClinical Social Worker
21194FLMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1458864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786924800000",
    "number": "1093177289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 STATELY SHOALS TRL",
            "city": "PONTE VEDRA",
            "state": "FL",
            "postal_code": "320815052",
            "telephone_number": "323-595-0750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "EMBEDDED BEHAVIORAL HEALTH TEAM 5/6 KENNEDY CLINIC",
            "address_2": "BUILDING 2255 761ST TANK BATTALION",
            "city": "FORT HOOD",
            "state": "TX",
            "postal_code": "76528",
            "telephone_number": "323-595-0750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAKAMOTO",
        "first_name": "AMARANDA",
        "middle_name": "LILAC",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-25",
        "last_updated": "2026-08-17",
        "certification_date": "2026-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "21194",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "95023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Hood, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2026; 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.