Individual provider Active NPI

Amanda Sierra Kling

  • Clinical Social Worker
  • Chico, CA
National Provider Identifier
1255885190
Registry record updated Jul 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
108773 Issued in CA
Practice address
260 Cohasset Rd Ste 120
Chico, CA 95926-2282
Phone
(530) 894-5933
NPI assigned
Aug 9, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 108773 CA Primary

Addresses

Primary practice location

260 Cohasset Rd Ste 120
Chico, CA 95926-2282

Mailing address

260 Cohasset Rd Ste 120
Chico, CA 95926-2282
Phone (530) 894-5933

Other practice location 1

578 Rio Lindo Ave
Suite 3
Chico, CA 95926-1800
Phone (530) 894-5933 ext. 10

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
108773CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Youth for Change CurrentSince Jul 17, 2022 Accepting new patients

Locations

260 Cohasset Rd
Ste 120
Chico, CA 95926
Phone (530) 877-1965

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.

NPI Registry JSON

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

{
    "created_epoch": "1470700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656633600000",
    "number": "1255885190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 COHASSET RD STE 120",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959262282",
            "telephone_number": "530-894-5933",
            "fax_number": "530-894-1978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 COHASSET RD STE 120",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959262282",
            "telephone_number": "530-894-5933"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "578 Rio Lindo Ave",
            "address_2": "Suite 3",
            "address_purpose": "LOCATION",
            "city": "Chico",
            "state": "CA",
            "postal_code": "959261800",
            "country_code": "US",
            "telephone_number": "530-894-5933 x10",
            "fax_number": "530-894-5791",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KLING",
        "first_name": "AMANDA",
        "middle_name": "SIERRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-09",
        "last_updated": "2022-07-01",
        "certification_date": "2022-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "108773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chico, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2022; 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.