Individual provider Active NPI

Anita Lyn Acevedo, LCSW

  • Clinical Social Worker
  • Corte Madera, CA
National Provider Identifier
1447572508
Registry record updated Dec 21, 2025
On this page

Key facts

NPPES NPI Registry
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
Last updated
Dec 21, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 124828 MA
Clinical Social Worker 1041C0700X 13385 SC Primary
Clinical Social Worker 1041C0700X 120308 CA
Clinical Social Worker 1041C0700X 007203 GA
Clinical Social Worker 1041C0700X 992150 CO

Addresses

Primary practice location

301 Montecito Ave
Corte Madera, CA 94925-1404

Mailing address

301 Montecito Ave
Corte Madera, CA 94925-1404
Phone (850) 883-8600

Medicare participation

Medicare enrollment files
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.

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20190218001383 CO Practitioner - Clinical Social Worker 0941548937 Reassigns benefits to 2 organizations
I20200616000926 SC Practitioner - Clinical Social Worker 0941548937 Reassigns benefits to 1 organization
I20250207003457 GA Practitioner - Clinical Social Worker 0941548937 Reassigns benefits to 2 organizations
I20250220000473 MA Practitioner - Clinical Social Worker 0941548937 Reassigns benefits to 1 organization
I20250304003364 CA Practitioner - Clinical Social Worker 0941548937 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1992
Medicare assignment
May accept Medicare assignment
Group practices
Sondermind PCGroup PAC ID 0547795791, 64 clinicians
Sondermind Provider Network LLCGroup PAC ID 9537572490, 1,295 clinicians

Practice addresses (Care Compare)

Walnut Creek, CA 94596
Phone (866) 630-0966

720 S Colorado Blvd
PH North
Denver, CO 80246-1904
Phone (844) 843-7279

90 Canal St
Suite 4
Boston, MA 02114-2022
Phone (866) 630-0966

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
992150COMDClinical Social Worker
124828MAMDClinical Social Worker
13385SCMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sondermind PC Clinical CurrentSince Feb 28, 2025 Accepting new patients
South Carolina Online Counseling and Group Therapy, LLC CurrentSince Oct 11, 2020 Accepting new patients
Optum Behavioral Care of Colorado, P.C. Clinical CurrentSince Sep 15, 2025 Accepting new patients
Optum Behavioral Care of Colorado, P.C. Clinical CurrentSince Sep 15, 2025 Accepting new patients
Sondermind Provider Network LLC Clinical CurrentSince Jan 31, 2025 Accepting new patients

Locations

6203 San Ignacio Ave
Ste 110
San Jose, CA 95119
Phone (408) 638-9569

27240 Turnberry Ln
Ste 200
Valencia, CA 91355
Phone (661) 289-6992

1460 Maria Ln
Ste 300
Walnut Creek, CA 94596
Phone (510) 214-3980

600 17th St
Ste 2610S
Denver, CO 80202

169 Inverness Dr W
Ste 400
Englewood, CO 80112
Phone (303) 638-7069

720 S Colorado Blvd
Ph N
Glendale, CO 80246
Phone (833) 988-0589

3348 Peachtree Rd NE
Ste 700
Atlanta, GA 30326
Phone (720) 712-7900

90 Canal St
Ste 4
Boston, MA 02114
Phone (617) 517-4889

61 Riverwalk Blvd
Ste H
Ridgeland, SC 29936
Phone (843) 636-5017

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "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": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corte Madera, CA

Sources for this page

Verify at the official NPI Registry.