Ms. Amanda J Fata
Social Worker, Clinical in Santa Monica, California
1164755427- Practice location
- 1328 2ND St, Santa Monica, CA 90401-1122
- Phone
- 310-394-6889
- Fax
- 310-394-6883
- Last updated
- December 12, 2017
Amanda Jeanna Fata is a Social Worker, Clinical based in Santa Monica, CA. Amanda Jeanna Fata practices in Santa Monica, CA. The NPI Number for Amanda Jeanna Fata is 1164755427. The current practice location address for Amanda Jeanna Fata is 1328 2ND St, Santa Monica, CA 90401-1122 and can be reached out via phone at 310-394-6889 and via fax at 310-394-6883.
Provider Profile Details
- NPI Number
- 1164755427
- Provider Name
- Amanda Jeanna Fata
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 1328 2ND St, Santa Monica, CA 90401-1122
- Phone Number
- 310-394-6889
- Fax Number
- 310-394-6883
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- September 17, 2009
- Last Update Date
- December 12, 2017
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1328 2ND St
Santa Monica, CA 90401-1122 - City
- Santa Monica
- State
- California
- Zip
- 90401-1122
- Phone Number
- 310-394-6889
- Fax Number
- 310-394-6883
Provider Business Mailing Address Details
- Address
- 100 Bayview Ave
Berkley, MA 02779-2200 - City
- Berkley
- State
- MA
- Zip
- 02779-2200
- Phone Number
- 508-685-8268
- Fax Number
- 508-880-6848
License Information
- Taxonomy
- Social Worker, Clinical · 1041C0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Ms. Amanda J Fata?
The NPI number of Ms. Amanda J Fata is 1164755427. It was assigned on September 17, 2009 and is currently active in the NPPES registry.
What is the specialty of Ms. Amanda J Fata?
Ms. Amanda J Fata is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X).
Where does Ms. Amanda J Fata practice?
The practice location is 1328 2ND St, Santa Monica, CA 90401-1122. The office can be reached at 310-394-6889 (phone) or 310-394-6883 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1164755427 directly on the NPPES registry website.