Individual provider Active NPI

Amelia M. Huerta, LCSW

  • Clinical Social Worker
  • Oakland, CA
National Provider Identifier
1932318185
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCS17630 Issued in CA
Practice address
7200 Bancroft Ave Ste 125D
Oakland, CA 94605-2415
Phone
(510) 777-3890
NPI assigned
May 22, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCS17630 CA Primary

Addresses

Primary practice location

7200 Bancroft Ave Ste 125D
Oakland, CA 94605-2415

Mailing address

7200 Bancroft Ave Ste 125D
Oakland, CA 94605-2415
Phone (510) 777-3890

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101203000956 CA Practitioner - Clinical Social Worker 0648467530 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCS17630CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Alameda County CurrentSince May 12, 2025 Accepting new patients
Alameda County Current Accepting new patients

Locations

409 Jackson St
Ste 100
Hayward, CA 94544
Phone (510) 383-5103

7200 Bancroft Ave
Ste 125A
Oakland, CA 94605
Phone (510) 777-3800

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1932318185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7200 BANCROFT AVE STE 125D",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946052415",
            "telephone_number": "510-777-3890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7200 BANCROFT AVE STE 125D",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946052415",
            "telephone_number": "510-777-3890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUERTA",
        "first_name": "AMELIA",
        "middle_name": "M.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS17630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

Verify at the official NPI Registry.