Active NPI
Amanda Marie Fuerte, LCSW
- Clinical Social Worker
- Chula Vista, CA
National Provider Identifier
1992599344
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 113906
- Practice address
- 1741 Eastlake Pkwy
Ste 102 #1158
Chula Vista, CA 91915 - Phone
- (619) 324-0186
- NPI assigned
- Apr 8, 2025
- Sex
- Female
- Sole proprietor
- Yes
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 | 113906 | CA | Primary |
Addresses
Primary practice location
1741 Eastlake Pkwy
Ste 102 #1158
Chula Vista, CA 91915
Mailing address
1741 Eastlake Pkwy
Ste 102 #1158
Chula Vista, CA 91915
Phone (619) 324-0186
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Apr 14, 2025 through Apr 14, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 113906 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1744070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744070400000",
"number": "1992599344",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1741 EASTLAKE PKWY",
"address_2": "STE 102 #1158",
"city": "CHULA VISTA",
"state": "CA",
"postal_code": "91915",
"telephone_number": "619-324-0186"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1741 EASTLAKE PKWY",
"address_2": "STE 102 #1158",
"city": "CHULA VISTA",
"state": "CA",
"postal_code": "91915",
"telephone_number": "619-324-0186"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FUERTE",
"first_name": "AMANDA",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-04-08",
"last_updated": "2025-04-08",
"certification_date": "2025-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "113906",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chula Vista, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.