Active NPI
Amie Dawn Panicacci, MSW, ASW
- Social Worker
- Van Nuys, CA
National Provider Identifier
1790004265
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 28045
- Practice address
- 15339 Saticoy St
Van Nuys, CA 91406-3345 - Phone
- (818) 267-2646
- Fax
- (818) 267-2691
- NPI assigned
- May 24, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 28045 | CA | Primary |
Addresses
Primary practice location
15339 Saticoy St
Van Nuys, CA 91406-3345
Mailing address
1670 Amberwood Dr Apt C
South Pasadena, CA 91030-1930
Phone (818) 720-7701
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 |
|---|---|---|---|
| 28045 | CA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1274659200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1274659200000",
"number": "1790004265",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1670 AMBERWOOD DR APT C",
"city": "SOUTH PASADENA",
"state": "CA",
"postal_code": "910301930",
"telephone_number": "818-720-7701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15339 SATICOY ST",
"city": "VAN NUYS",
"state": "CA",
"postal_code": "914063345",
"telephone_number": "818-267-2646",
"fax_number": "818-267-2691"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PANICACCI",
"first_name": "AMIE",
"middle_name": "DAWN",
"credential": "MSW, ASW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-05-24",
"last_updated": "2010-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": "28045",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Van Nuys, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.