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PROF. ANTONIA TERESA AMORE-BROCCOLI MSW, L.C.S.W.
NPI 1225368665
Social Worker - Clinical in Soquel, CA

Active since January 07, 2010PECOS EnrolledAccepts Medicare Assignment
4300 SOQUEL DR, SPC 217, SOQUEL, CA 95073(831) 566-4409(831) 462-2561 Get Directions Write a Review

NPPES record last updated: February 11, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 11, 2022, Oct 26, 2016, May 9, 2016 (3 updates tracked since 2016).

About Prof. Antonia Teresa Amore-broccoli Msw, L.c.s.w. NPPES

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

PROF. ANTONIA TERESA AMORE-BROCCOLI MSW, L.C.S.W. (NPI 1225368665) is an individual clinical provider in Soquel, California, licensed in California (LCSW 23968) and active in the NPI registry since January 2010. She is enrolled in Medicare PECOS and is a graduate of University Of Michigan Medical School (1996).

NPPES Registry Identity

NPI1225368665
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NamePROF. ANTONIA TERESA AMORE-BROCCOLICredential: MSW, L.C.S.W.
Location Address4300 SOQUEL DR, SPC 217Soquel, CA 95073-2105
Mailing Address5905 Soquel Dr, Suite 200Soquel, CA 95073-2855 · (831) 566-4409 · Fax (831) 462-2561
Phone(831) 566-4409
Fax(831) 462-2561
Sole ProprietorYes
Medical School CMSUniversity Of Michigan Medical SchoolGraduated 1996
Enumeration DateJanuary 7, 2010
Last NPPES UpdateFebruary 11, 20223 updates tracked since enumeration
✔ NPI 1225368665 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 · LCSW 23968
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.
4300 SOQUEL DR, Soquel, CA 95073
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Other Names 1

Former Name (1)Teresa Antonia Broccoli

Other Identifiers 2

Other1225368665CA · Npi
Other12009903Caqh

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Prof. Antonia Teresa Amore-broccoli Msw, L.c.s.w. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3577878545
PECOS Enrollment IDI20150819009301
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95073 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 $62.97 – $186.69
Typical copayment $0.00 (range $15.74 – $46.67)
Most-billed visit code NA
Established Patient
$77.84 typical visit price
range $21.02 – $153.16
Typical copayment $19.46 (range $5.25 – $38.29)
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.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Antonia Amore-broccoli's NPI number?

The NPI number for Antonia Amore-broccoli is 1225368665. It was assigned to this individual provider in the NPPES registry on January 7, 2010. The provider is also known as Teresa Antonia Broccoli.

Where is Antonia Amore-broccoli located?

Antonia Amore-broccoli practices at 4300 Soquel Dr Spc 217, Soquel, CA 95073. The listed phone number is (831) 566-4409.

What is Antonia Amore-broccoli's specialty?

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

Is Antonia Amore-broccoli enrolled in Medicare?

Yes. Antonia Amore-broccoli is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Antonia Amore-broccoli was last updated on February 11, 2022. 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.