Organization Active NPI

Radiant Focus Therapy a Licensed Clinical Social Workers Corporation

  • Social Worker
  • Tracy, CA
National Provider Identifier
1639042419
Registry record updated Sep 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Legal business name
RADIANT FOCUS THERAPY A LICENSED CLINICAL SOCIAL WORKERS CORPORATION
Practice address
1533 Shadowood CT
Tracy, CA 95376-5277
Phone
(209) 627-5944
NPI assigned
Sep 26, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2025

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

Authorized official

Name
Amanda Michele White, LCSWNPI 1396414603
Title
Ceo
Phone
(209) 627-5944

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 104100000X Primary

Addresses

Primary practice location

1533 Shadowood CT
Tracy, CA 95376-5277

Mailing address

1533 Shadowood CT
Tracy, CA 95376-5277
Phone (209) 627-5944

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1758844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758844800000",
    "number": "1639042419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1533 SHADOWOOD CT",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953765277",
            "telephone_number": "209-627-5944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1533 SHADOWOOD CT",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953765277",
            "telephone_number": "209-627-5944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADIANT FOCUS THERAPY A LICENSED CLINICAL SOCIAL WORKERS CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-26",
        "last_updated": "2025-09-26",
        "certification_date": "2025-09-26",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "MICHELE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "209-627-5944",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tracy, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2025; 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.