Active NPI
Amanda Nicole Dodd, LCSW
- Clinical Social Worker
- Sacramento, CA
National Provider Identifier
1447351432
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 25779
- Practice address
- 2750 Sutterville Rd
Sacramento, CA 95820 - Phone
- (916) 452-3981
- Fax
- (916) 456-4636
- NPI assigned
- Sep 25, 2006
- Last updated
- Mar 22, 2010
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 25779 | CA | Primary |
Addresses
Primary practice location
2750 Sutterville Rd
Sacramento, CA 95820
Mailing address
3651 7TH Ave
Sacramento, CA 95817-3220
Phone (916) 533-3954
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 |
|---|---|---|---|
| 25779 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1269216000000",
"number": "1447351432",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3651 7TH AVE",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958173220",
"telephone_number": "916-533-3954"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2750 SUTTERVILLE RD",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "95820",
"telephone_number": "916-452-3981",
"fax_number": "916-456-4636"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DODD",
"first_name": "AMANDA",
"middle_name": "NICOLE",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-25",
"last_updated": "2010-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "25779",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.