AMANDA RANEE MARTIN
NPI 1063882256
Social Worker - Clinical in San Francisco, CA

Q: What is Amanda Martin's NPI number?

The NPI number for Amanda Martin is 1063882256. It was assigned to this individual provider in the NPPES registry on September 30, 2015.

Q: What is Amanda Martin's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Q: When was this NPI record last updated?

The NPPES record for Amanda Martin was last updated on December 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 30, 2015PECOS Enrolled

815 BUENA VISTA AVE W, SAN FRANCISCO, CA 94117(415) 762-3705 Get Directions Write a Review

NPPES record last updated: December 30, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 30, 2021, Sep 3, 2019, Sep 17, 2018 and 3 more (6 updates tracked since 2015).

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About Amanda Ranee Martin NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMANDA RANEE MARTIN (NPI 1063882256) is an individual clinical provider in San Francisco, California, licensed in California (LCSW91260) and active in the NPI registry since September 2015. She is enrolled in Medicare PECOS and maintains a secondary practice location in San Francisco.

NPPES Registry Identity

NPI1063882256

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameAMANDA RANEE MARTIN

Location Address815 BUENA VISTA AVE WSan Francisco, CA 94117-4108

Mailing Address815 Buena Vista Ave WSan Francisco, CA 94117-4108 · (503) 804-1277

Phone(415) 762-3705

Sole ProprietorNo

Enumeration DateSeptember 30, 2015

Last NPPES UpdateDecember 30, 20216 updates tracked since enumeration

✔ NPI 1063882256 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in CA · LCSW91260

Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

815 BUENA VISTA AVE W, San Francisco, CA 94117

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Secondary Practice Location 1

Location 1815 Buena Vista Ave WSan Francisco, CA 94117-4108 · Phone (415) 762-3705

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amanda Ranee Martin is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Amanda Martin reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Permanente Medical Group Inc

1.0 mi

Internal Medicine

2238 GEARY
San Francisco, CA 94116

Reassigned Medicare billing, California enrollment
20,078 clinicians in this Medicare group

NPI 1841373800 (415) 833-2200

Wellmind Online Ca Licensed Clinical Social Worker Prof Corp

28 mi

Psychiatry

2100 GENG RD STE 210
Palo Alto, CA 94303

Reassigned Medicare billing, California enrollment
Medicare enrollment name: Wellmindonline Ca Licensed Clinical Social Worker Prof Corp
54 clinicians in this Medicare group

NPI 1447871272 (833) 646-3243

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94117 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$0.00 typical visit price

range $69.00 – $202.35

Typical copayment $0.00 (range $17.25 – $50.58)

Most-billed visit code NA

Established Patient

$84.91 typical visit price

range $23.44 – $166.46

Typical copayment $21.22 (range $5.86 – $41.61)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EVELYN WORD-POTASH

Registered Nurse (Community Health)