Amhs, Licensed Clinical Social Worker, Prof Corp

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

AMHS, LICENSED CLINICAL SOCIAL WORKER, PROF CORP

Doing business as

Arden Mental Health Services, Prof Corp

Practice address

2621 Capitol Ave Unit 4
Sacramento, CA 95816-5937

Phone

(279) 346-4558

NPI assigned

Jun 2, 2022

Organization subpart

No

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

Authorized official

Name

Jennifer L Moore, LCSWNPI 1972275741

Title

President

Phone

(279) 346-4558

Specialties & licenses 1

Addresses

Other names 1

• Arden Mental Health Services, Prof Corp Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jennifer L Moore, LCSW

  • Clinical Social Worker
  • Sacramento, CA
  • NPI 1972275741
  NPD Authorized official

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

{
    "created_epoch": "1654128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654128000000",
    "number": "1891434148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2621 CAPITOL AVE UNIT 4",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958165937",
            "telephone_number": "279-346-4558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2621 CAPITOL AVE UNIT 4",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958165937",
            "telephone_number": "279-346-4558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMHS, LICENSED CLINICAL SOCIAL WORKER, PROF CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-02",
        "last_updated": "2022-06-02",
        "certification_date": "2022-06-02",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "279-346-4558",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arden Mental Health Services, Prof Corp",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• William T Amess, M.D.
• Stephanie M Amey, RDHAP
• Amezcua Dental Corporation (Market West Dental Group)
• Melissa L Amezcua
• Uriel Amezcua
• Anastacia Kay Amin, PA-C
• Gaurang G Amin, DDS
• Janki P. Amin, M.D.
• Amini Psychology, PC (Amini Psychology)
• Amir Amini, M.D.

• Mental Health Clinic/Center (Including Community Mental Health Center) in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 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.

Verify at the official NPI Registry.