Individual provider Active NPI

Amber Lynn Workman, ACSW 93298

  • Clinical Social Worker
  • Sutter Creek, CA
National Provider Identifier
1851931018
Registry record updated May 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW107880 Issued in CA
Practice address
10877 Conductor Blvd Ste 300
Sutter Creek, CA 95685-9688
Phone
(209) 223-6412
NPI assigned
Jan 15, 2020
Last updated
May 2, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X ASCW93298 CA
Clinical Social Worker 1041C0700X LCSW107880 CA Primary

Addresses

Primary practice location

10877 Conductor Blvd Ste 300
Sutter Creek, CA 95685-9688

Mailing address

10877 Conductor Blvd Ste 300
Sutter Creek, CA 95685-9688
Phone (209) 223-6412

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ASCW93298CAMDMental Health Counselor
LCSW107880CAMDClinical Social Worker
107880CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
County of Amador CurrentSince Jan 19, 2020 Accepting new patients
Cyti Health PC CurrentSince Jul 1, 2024 Accepting new patients
County of Amador CurrentSince Jan 19, 2020 Accepting new patients

Locations

11801 Pierce St
Riverside, CA 92505
Phone (909) 528-0317

3111 Camino del Rio N
Ste 460
San Diego, CA 92108

402 W Broadway
Ste 400
San Diego, CA 92101
Phone (619) 810-1939

10877 Conductor Blvd
Ste 300
Sutter Creek, CA 95685
Phone (209) 223-6412

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1579046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651449600000",
    "number": "1851931018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10877 CONDUCTOR BLVD STE 300",
            "city": "SUTTER CREEK",
            "state": "CA",
            "postal_code": "956859688",
            "telephone_number": "209-223-6412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10877 CONDUCTOR BLVD STE 300",
            "city": "SUTTER CREEK",
            "state": "CA",
            "postal_code": "956859688",
            "telephone_number": "209-223-6412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WORKMAN",
        "first_name": "AMBER",
        "middle_name": "LYNN",
        "credential": "ACSW 93298",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-15",
        "last_updated": "2022-05-02",
        "certification_date": "2022-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "ASCW93298",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW107880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sutter Creek, CA

Sources for this page

Verify at the official NPI Registry.