Individual provider Active NPI

Amanda King

  • Clinical Social Worker
  • Los Angeles, CA
National Provider Identifier
1609494988
Registry record updated May 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
120615 Issued in CA
Practice address
1920 Hillhurst Ave # 1144
Los Angeles, CA 90027-2712
Phone
(612) 770-7552
NPI assigned
Jul 13, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 120615 CA Primary

Addresses

Primary practice location

1920 Hillhurst Ave # 1144
Los Angeles, CA 90027-2712

Mailing address

1920 Hillhurst Ave # 1144
Los Angeles, CA 90027-2712
Phone (612) 770-7552

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Nov 5, 2025 through Nov 5, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
120615CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Sharon Yu Marriage and Family Therapy, a Professional Corporation PastSince Aug 1, 2023 Accepting new patients

Organizations & group practices 1

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": "1594598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716336000000",
    "number": "1609494988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1920 HILLHURST AVE # 1144",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900272712",
            "telephone_number": "612-770-7552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 HILLHURST AVE # 1144",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900272712",
            "telephone_number": "612-770-7552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "AMANDA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-13",
        "last_updated": "2024-05-22",
        "certification_date": "2024-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "120615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.