Active NPI
Amy Ochenduszko
- Clinical Social Worker
- Martinez, CA
National Provider Identifier
1659701860
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 96874
- Practice address
- 150 Muir Rd
Martinez, CA 94553-4668 - Phone
- (925) 372-2000
- NPI assigned
- Nov 25, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Clinical Social Worker | 1041C0700X | 96874 | CA | Primary |
Addresses
Primary practice location
150 Muir Rd
Martinez, CA 94553-4668
Mailing address
1104 Courtland CT
Fairfield, CA 94534-7444
Phone (808) 652-0915
Other practice location 1
947 Cole Ave
Los Angeles, CA 90038-2610
Phone (323) 871-4600 ext. 4623
Other names 1
- Amy Hutchinson
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 |
|---|---|---|---|
| 96874 | CA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Los Angeles County Department of Mental Health | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Los Angeles, CA
- NPI 1578771200
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1385337600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661126400000",
"number": "1659701860",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1104 COURTLAND CT",
"city": "FAIRFIELD",
"state": "CA",
"postal_code": "945347444",
"telephone_number": "808-652-0915"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 MUIR RD",
"city": "MARTINEZ",
"state": "CA",
"postal_code": "945534668",
"telephone_number": "925-372-2000"
}
],
"practiceLocations": [
{
"address_1": "947 Cole Ave",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900382610",
"country_code": "US",
"telephone_number": "323-871-4600 x4623",
"fax_number": "323-465-5839",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OCHENDUSZKO",
"first_name": "AMY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-11-25",
"last_updated": "2022-08-22",
"certification_date": "2022-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "96874",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "AMY",
"last_name": "HUTCHINSON",
"credential": "LCSW",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Martinez, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.