Individual provider Active NPI

Amanda Young, LCSW

  • Clinical Social Worker
  • Mansfield, TX
National Provider Identifier
1841623907
Registry record updated Jun 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
62167 Issued in TX
Practice address
1301 E Debbie LN Ste 102
Mansfield, TX 76063-3376
Phone
(682) 297-6203
Fax
(817) 259-2651
NPI assigned
Aug 13, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 6847-M AR
Clinical Social Worker 1041C0700X
Clinical Social Worker 1041C0700X 62167 TX Primary

Addresses

Primary practice location

1301 E Debbie LN Ste 102
Mansfield, TX 76063-3376

Mailing address

1301 E Debbie LN Ste 102
Mansfield, TX 76063-3376
Phone (682) 297-6203

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230201001374 TX Practitioner - Clinical Social Worker 6901277870 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
88.99 of 100Reported as group
Quality
80
Improvement activities
40
Cost
66.63

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6847-MARMDSocial Worker
62167TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Supportive Care LLC CurrentSince Jan 15, 2023 Accepting new patients
Realign & Unwind Therapy and Wellness PLLC Clinical PastSince Jan 29, 2023 Accepting new patients

Locations

27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951

1201 Colonel Dr
Garland, TX 75043
Phone (210) 602-1140

825 W Kearney St
Mesquite, TX 75149
Phone (972) 288-7660

434 Paza Dr
Mesquite, TX 75149
Phone (972) 286-6489

Organizations & group practices 2

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": "1376352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749427200000",
    "number": "1841623907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 E DEBBIE LN STE 102",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760633376",
            "telephone_number": "682-297-6203",
            "fax_number": "817-259-2651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 E DEBBIE LN STE 102",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760633376",
            "telephone_number": "682-297-6203",
            "fax_number": "817-259-2651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "AMANDA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-13",
        "last_updated": "2025-06-09",
        "certification_date": "2025-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "AR",
            "license": "6847-M",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "62167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, TX

Sources for this page

Verify at the official NPI Registry.