Individual provider Active NPI

Amelia Ritzenberg-Crary, LCSW

  • Clinical Social Worker
  • San Francisco, CA
National Provider Identifier
1932681293
Registry record updated Dec 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
112560 Issued in CA
Practice address
80 Manchester St
San Francisco, CA 94110-5215
Phone
(415) 902-6051
NPI assigned
Sep 4, 2018
Last updated
Dec 13, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 112560 CA Primary
Community Health Worker 172V00000X NU

Addresses

Primary practice location

80 Manchester St
San Francisco, CA 94110-5215

Mailing address

80 Manchester St
San Francisco, CA 94110-5215
Phone (415) 902-6051

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • 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
I20230103002981 CA Practitioner - Clinical Social Worker 6103296348 Practice locations: San Francisco, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

San Francisco, CA 94110
Phone (415) 902-6051

80 Manchester St
San Francisco, CA 94110-5215

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
112560CAMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1536019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670889600000",
    "number": "1932681293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 MANCHESTER ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941105215",
            "telephone_number": "415-902-6051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 MANCHESTER ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941105215",
            "telephone_number": "415-902-6051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RITZENBERG-CRARY",
        "first_name": "AMELIA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-04",
        "last_updated": "2022-12-13",
        "certification_date": "2022-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "112560",
            "primary": true
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.