Individual provider Active NPI

Amy Starlite Huddle, LCSW

  • Clinical Social Worker
  • Sonoma, CA
National Provider Identifier
1164780821
Registry record updated May 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW128344 Issued in CA
Practice address
19270 Highway 12
Sonoma, CA 95476-5414
Phone
(707) 939-6070
Fax
(707) 939-6077
NPI assigned
May 1, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 19, 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 Worker 1041C0700X 0904007796 VA
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X LCSW128344 CA Primary

Addresses

Primary practice location

19270 Highway 12
Sonoma, CA 95476-5414

Mailing address

19270 Highway 12
Sonoma, CA 95476-5414
Phone (707) 939-6070

Other names 1

  • Amy Huddle-Thomason Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, CA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200421001305 VA Practitioner - Clinical Social Worker 4688004393 Reassigns benefits to 3 organizations
I20250807002845 CA Practitioner - Clinical Social Worker 4688004393 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2002
Medicare assignment
May accept Medicare assignment
Group practices
Sonoma Valley Community Health CenterGroup PAC ID 6800708686, 16 clinicians

Practice addresses (Care Compare)

19270 Hwy 12
Sonoma, CA 95476-5414
Phone (707) 939-6070

19270 Sonoma Hwy 12
Sonoma, CA 95476-5414

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW128344CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Vernon J Harris East End Community Health Center Single Specialty Current Accepting new patients
Vernon J Harris East End Community Health Center CurrentSince May 1, 2022 Accepting new patients
Sonoma Valley Community Health Center Single Specialty CurrentSince Jul 18, 2025 Accepting new patients
Kuumba Community Health & Wellness Center, Inc. CurrentSince Oct 11, 2021 Accepting new patients
Kuumba Community Health & Wellness Center, Inc. Single Specialty CurrentSince Oct 11, 2021 Accepting new patients
Vernon J Harris East End Community Health Center CurrentSince May 1, 2022 Accepting new patients
Oncology and Hematology Associates of Southwest Virginia, Inc. Single Specialty CurrentSince Mar 16, 2020 Accepting new patients
Oncology and Hematology Associates of Southwest Virginia, Inc. CurrentSince Mar 16, 2020 Accepting new patients
Sud Specialty Group - Ca Clinical CurrentSince Aug 1, 2025 Accepting new patients

Locations

5201 Great America Pkwy
Ste 320
Santa Clara, CA 95054
Phone (323) 968-6182

4633 Old Ironsides Dr
Ste 304
Santa Clara, CA 95054
Phone (501) 271-9428

520 Broadway
Ste 200
Santa Monica, CA 90401
Phone (949) 280-5295

19270 Highway 12
Sonoma, CA 95476
Phone (707) 939-6070

2025 E Main St
Ste 105
Richmond, VA 23223
Phone (804) 253-1968

719 N 25th St
Richmond, VA 23223
Phone (804) 253-1969

2809 North Ave
Ste 206
Richmond, VA 23222
Phone (804) 525-1818

3716 Melrose Ave NW
Roanoke, VA 24017
Phone (540) 362-0360

2013 Jefferson St SW
Fl 2
Roanoke, VA 24014
Phone (540) 982-0237

2013 Jefferson St SW
Roanoke, VA 24014
Phone (540) 981-7377

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EJBDAA

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1335830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779148800000",
    "number": "1164780821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19270 HIGHWAY 12",
            "city": "SONOMA",
            "state": "CA",
            "postal_code": "954765414",
            "telephone_number": "707-939-6070",
            "fax_number": "707-939-6077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19270 HIGHWAY 12",
            "city": "SONOMA",
            "state": "CA",
            "postal_code": "954765414",
            "telephone_number": "707-939-6070",
            "fax_number": "707-939-6077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUDDLE",
        "first_name": "AMY",
        "middle_name": "STARLITE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-01",
        "last_updated": "2026-05-19",
        "certification_date": "2026-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904007796",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW128344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "HUDDLE-THOMASON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sonoma, CA

Sources for this page

Verify at the official NPI Registry.