Anita Lyn Acevedo, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

13385 Issued in SC

Practice address

301 Montecito Ave
Corte Madera, CA 94925-1404

Phone

(415) 686-4379

NPI assigned

Feb 17, 2010

Sex

Female

Sole proprietor

No

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.

• Sondermind PC

  • Clinical Social Worker
  • San Jose, CA
  • NPI 1003646977

  CA, Clinical

  Medicare reassignment Care Compare group NPD
• Sondermind Provider Network LLC

  • Clinical Social Worker
  • Denver, CO
  • NPI 1760854442

  Clinical, CO, GA, MA

  Medicare reassignment Care Compare group NPD
• BC Collective of Ga LLC

  • Clinic/Center
  • Atlanta, GA
  • NPI 1700746237

  CO, GA, SC

  Medicare reassignment
• Optum Behavioral Care of Colorado, P.C.

  • Clinical Social Worker
  • Englewood, CO
  • NPI 1245117548

  Clinical

  NPD
• Optum Behavioral Care of Colorado, P.C.

  • Clinical Social Worker
  • De Pere, WI
  • NPI 1396622494

  Clinical

  NPD
• South Carolina Online Counseling and Group Therapy, LLC

  • Professional Counselor
  • Ridgeland, SC
  • NPI 1154928448
  NPD

Specialty

Clinical Social Worker

Education

Other, 1992

Medicare assignment

May accept Medicare assignment

Group practices

Sondermind PC 64 clinicians

Sondermind Provider Network LLC 1,295 clinicians

Practice addresses (Care Compare)

Medicare fee-for-service enrollment

Enrolled in CO, SC, GA, MA, CA5 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.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 21, 2025.

{
    "created_epoch": "1266364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766275200000",
    "number": "1447572508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 MONTECITO AVE",
            "city": "CORTE MADERA",
            "state": "CA",
            "postal_code": "949251404",
            "telephone_number": "850-883-8600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 MONTECITO AVE",
            "city": "CORTE MADERA",
            "state": "CA",
            "postal_code": "949251404",
            "telephone_number": "415-686-4379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACEVEDO",
        "first_name": "ANITA",
        "middle_name": "LYN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-17",
        "last_updated": "2025-12-21",
        "certification_date": "2025-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "124828",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "13385",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "120308",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "007203",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "992150",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VETERAN'S AFFAIRS",
            "identifier": "1041CO700X",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Abunda
• Maite Acedo, MFT
• Pamela Lynne Aden, P.T.
• Lucy Haemin Ahn, PHARMD
• Briana Leslie Aitkenhead
• Megan Rae Allen, M.F.T.
• Adrien Markus Almonte, OD

• All providers in Corte Madera, CA
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.