AMANDA LEE CARRILLO


Address: 3621 W Ash Ave, Fullerton, CA 92833-3107
Phone: 7148720034

AMANDA LEE CARRILLO (NPI# 1477804227) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1477804227
Entity Type Individual
Full Name AMANDA LEE CARRILLO
Credential LCSW
Practice Address 3621 W Ash Ave
Fullerton
CA 92833-3107
Practice Telephone 7148720034
Practice Fax Number 2139358728
Mailing Telephone 7148720034
Enumeration Date 2012-09-19
Last Update Date 2019-11-29
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 101YM0800X Counselor
Specialization: Mental Health
ASW36736 CA Behavioral Health & Social Service Providers
Y 1041C0700X Social Worker
Specialization: Clinical
LCSW82461 CA Behavioral Health & Social Service Providers

Other Providers AMANDA CARRILLO

NPI Name Taxonomy Address Enumeration
1285293258 Amanda Ashley Carrillo Occupational Therapy Assistant 3200 Mission Arch Dr, Roswell, NM 88201-8307 2019-06-12
1619479508 Amanda E Carrillo Behavioral Analyst 2909 Oregon Ct, Torrance, CA 90503-2645 2018-03-06
1073902706 Amanda Justine Carrillo Physical Therapist 4205 San Felipe Rd, Suite 100, San Jose, CA 95135-1503 2015-01-19

Office Location

Street Address 3621 W ASH AVE
City FULLERTON
State CA
Zip Code 92833-3107

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1790333565 Qz Enterpprises Corp In Home Supportive Care 2817 Muir Trail Dr, Fullerton, CA 92833 2019-08-26
1780114306 Acupuncture Nara Inc Clinic/Center 2334 W. Valencia Dr., Fullerton, CA 92833 2017-06-15
1518350149 Young A Lee Nurse Practitioner 2529 Monterey Pl, Fullerton, CA 92833 2015-03-06
1538557871 Annacess Arcadio Occupational Therapy Assistant 1437 W Woodcrest Ave, Fullerton, CA 92833 2015-01-08
1710306923 Nora Edith Heredia Counselor 1060 S Brookhurst Road, Fullerton, CA 92833 2014-04-15
1912322892 Louis Michael Hinzo Counselor 1060 S. Brookhurst Rd., Fullerton, CA 92833 2014-02-28
1497011290 Paul Choong Hwan Lee, M.d. A Medical Corporation Ophthalmology 1401 S. Brookhurst Rd., Suite 107, Fullerton, CA 92833 2012-04-05
1992073860 Tammy Phan Pharmacist 1826 W Orangethrope Ave, Fullerton, CA 92833 2011-12-07
1346577160 Hara Orthotics and Prosthetics,inc Prosthetic/Orthotic Supplier 1343 W. Valencia Dr., Suite E, Fullerton, CA 92833 2009-11-16
1265669923 Marcelle Bonneau Taylor Marriage & Family Therapist 1145 W. Valencia Mesa, Emmanuel Episcopal Church, Fullerton, CA 92833 2009-06-19
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Taxonomy Information

Taxonomy Code 1041C0700X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization Clinical

Taxonomy 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.
Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1962017103 Sofia Celestina Martinez Social Worker 835 Adlena Dr, Fullerton, CA 92833-2349 2020-09-14
1457826919 Bridget Kathleen Russell Social Worker 136 Melville Dr, Fullerton, CA 92835-3531 2018-10-10
1033633847 Christy C Molino Social Worker 225 N Highland Ave Apt 201, Fullerton, CA 92832-1847 2017-08-02
1780049403 Joyce Riley Social Worker 523 Blue Water Ln, Fullerton, CA 92831-1854 2015-12-22
1235509589 Jinwoo Chung Social Worker 2077 Owens Dr, Fullerton, CA 92833-5750 2015-09-29
1891137733 Heather Joy Dale Social Worker 3500 Rosehedge Dr, Fullerton, CA 92835-1628 2013-07-19
1871931188 Mikyong Kim-goh Social Worker 974 Verona Dr, Fullerton, CA 92835-3339 2013-06-08
1164701850 Sylvia Sue Boden Social Worker 1661 E Chapman Ave Ste 1e, Fullerton, CA 92831-4061 2011-08-11
1326339227 Margit Bane Social Worker 1631 S Pomona Ave Unit D26, Fullerton, CA 92832-3428 2011-04-26
1639489248 David Calvillo Social Worker 3607 W Valencia Dr, Fullerton, CA 92833-3134 2010-10-15
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Competitor

Search similar providers

City FULLERTON
Zip Code 92833

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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