Active NPI
Amanda Workman, ACSW
- Marriage & Family Therapist
- Los Altos, CA
National Provider Identifier
1104531300
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 120859
- Practice address
- 851 Fremont Ave Ste 106
Los Altos, CA 94024-5602 - Phone
- (650) 336-8033
- NPI assigned
- Jan 23, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 120859 | CA | Primary |
Addresses
Primary practice location
851 Fremont Ave Ste 106
Los Altos, CA 94024-5602
Mailing address
851 Fremont Ave Ste 106
Los Altos, CA 94024-5602
Phone (650) 336-8033
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | http://justtalktherapysv.com |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 120859 | CA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Just Talk Psychotherapy Inc. | Current | Accepting new patients |
Locations
851 Fremont Ave
Ste 106
Los Altos, CA 94024
Phone (650) 336-8033
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.
-
- Clinical Social Worker
- Los Altos, CA
- NPI 1447964713
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1674432000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674432000000",
"number": "1104531300",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "851 FREMONT AVE STE 106",
"city": "LOS ALTOS",
"state": "CA",
"postal_code": "940245602",
"telephone_number": "650-336-8033"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "851 FREMONT AVE STE 106",
"city": "LOS ALTOS",
"state": "CA",
"postal_code": "940245602",
"telephone_number": "650-336-8033"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WORKMAN",
"first_name": "AMANDA",
"credential": "ACSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-01-23",
"last_updated": "2023-01-23",
"certification_date": "2023-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "120859",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "http://justtalktherapysv.com",
"affiliation": "N",
"address_1": "851 Fremont Ave Ste 106",
"city": "Los Altos",
"state": "CA",
"country_code": "US",
"postal_code": "940245602",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Los Altos, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.