Active NPI
Amanda Young, LCSW
- Clinical Social Worker
- Mansfield, TX
National Provider Identifier
1841623907
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 62167
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 88.99 of 100
- Quality
- 80
- Improvement activities
- 40
- Cost
- 66.63
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6847-M | AR | MD | Social Worker |
| 62167 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Supportive Care LLC | Current | Accepting new patients | |
| Realign & Unwind Therapy and Wellness PLLC | Clinical | Past | 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.
-
- Clinical Psychologist
- Garland, TX
- NPI 1477895043
-
- Clinical Social Worker
- Grand Prairie, TX
- NPI 1871209254
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.