Suzanne Amendt, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

76566 Issued in CA

Practice address

43 Quail CT Ste 213
Walnut Creek, CA 94596-8702

Phone

(925) 326-1046

NPI assigned

Oct 10, 2017

Sex

Female

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 29, 2020.

{
    "created_epoch": "1507593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580256000000",
    "number": "1629588231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1836 PIERCE CT",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945211321",
            "telephone_number": "925-326-1046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 QUAIL CT STE 213",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945968702",
            "telephone_number": "925-326-1046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMENDT",
        "first_name": "SUZANNE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-10",
        "last_updated": "2020-01-29",
        "certification_date": "2020-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "76566",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1041C0700X",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Megha Ambati
• Hosanna Ambegia-Vinoya
• Katherine Ambrose, MS, OTR/L
• Amen Clinics, Inc Walnut Creek
• Mary Kathryn Amendola, RN
• American Current Care of California, a Medical Corporation
• American Current Care of California, a Medical Corporation
• American Rose Healthcare Group Inc
• Michael Amezcua
• Maryam Amini, MD

• All providers in Walnut Creek, CA
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2020; 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.