Individual provider Active NPI

Amanda L Dean, LCSW

  • Clinical Social Worker
  • Escondido, CA
National Provider Identifier
1538730536
Registry record updated Jun 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
ASW103735 Issued in CA
Practice address
221 W Crest St Ste 210
Escondido, CA 92025-1739
Phone
(760) 712-3535
NPI assigned
Jul 9, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 103735 CA
Student in an Organized Health Care Education/Training Program 390200000X
Clinical Social Worker 1041C0700X ASW103735 CA Primary

Addresses

Primary practice location

221 W Crest St Ste 210
Escondido, CA 92025-1739

Mailing address

221 W Crest St Ste 210
Escondido, CA 92025-1739
Phone (760) 747-3424

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ASW103735CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mental Health Systems, Inc. CurrentSince Jan 20, 2024 Accepting new patients
Mental Health Systems, Inc. CurrentSince Jan 20, 2024 Accepting new patients
Mental Health Systems, Inc. Current Accepting new patients
Mental Health Systems, Inc. PastSince Jul 1, 2021 Accepting new patients

Locations

9465 Farnham St
San Diego, CA 92123
Phone (858) 576-4311

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1625788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718841600000",
    "number": "1538730536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 W CREST ST STE 210",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920251739",
            "telephone_number": "760-747-3424",
            "fax_number": "760-888-8153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 W CREST ST STE 210",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920251739",
            "telephone_number": "760-712-3535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEAN",
        "first_name": "AMANDA",
        "middle_name": "L",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-09",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "103735",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "ASW103735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Escondido, CA

Sources for this page

Verify at the official NPI Registry.