Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

MS. Amanda Jeanna Fata

Individual provider Clinical Social Worker · NPI 1164755427

MS. Amanda Jeanna Fata is a Clinical Social Worker in Santa Monica, California. Qualified in 2010, 16 years ago. Practices as a sole proprietor and accepts Medicare assignment.

Years since qualifying
16
In the registry since
2009
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Practice location Address checks out

1328 2nd St
Santa Monica, CA 90401-1122
Phone: (310) 394-6889
Fax: (310) 394-6883
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1164755427
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 17, 2009
Last updated in NPPESDecember 12, 2017

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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