Active NPI
Amy Alexis Cadenazzi, LCSW
- Clinical Social Worker
- Clovis, CA
National Provider Identifier
1801670641
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 108169
- Practice address
- 334 Shaw Ave Ste 100
Clovis, CA 93612-3839 - Phone
- (559) 712-8500
- NPI assigned
- Aug 22, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 108169 | CA | Primary |
Addresses
Primary practice location
334 Shaw Ave Ste 100
Clovis, CA 93612-3839
Mailing address
17 Seasons CT
Madera, CA 93637-5033
Phone (559) 706-0836
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 |
|---|---|---|---|
| 108169 | CA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| A Mind Above, a Professional Psychology Corporation | Current | Accepting new patients |
Locations
334 Shaw Ave
Ste 100
Clovis, CA 93612
Phone (559) 454-1819
1300 E Shaw Ave
Ste 171
Fresno, CA 93710
Phone (559) 313-1398
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)
- Fresno, CA
- NPI 1669039327
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1692662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692662400000",
"number": "1801670641",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17 SEASONS CT",
"city": "MADERA",
"state": "CA",
"postal_code": "936375033",
"telephone_number": "559-706-0836"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "334 SHAW AVE STE 100",
"city": "CLOVIS",
"state": "CA",
"postal_code": "936123839",
"telephone_number": "559-712-8500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CADENAZZI",
"first_name": "AMY",
"middle_name": "ALEXIS",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-08-22",
"last_updated": "2023-08-22",
"certification_date": "2023-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "108169",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clovis, CA
- Chelsee Bznuni, ABA
- C.G. Ghazal and a.K. Gill Dental Corporation
- Lorraine Esther Caballero
- Brinsley Michelle Cabezut
- Edilberto Cabral
- Keba Cage, COTA
- Erica Catherine Caine, ATC
- California Counseling Collaborative-a Professional Clinical Counselor
- California Department of Corrections
- California Perinatal Wellness, Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.