Active NPI
Amanda Mendoza
- Clinical Social Worker
- Azusa, CA
National Provider Identifier
1841708401
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW127134
- Practice address
- 950 W Sierra Madre Ave Apt 512
Azusa, CA 91702-1870 - Phone
- (626) 470-7739
- NPI assigned
- Jan 17, 2018
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Clinical Social Worker | 1041C0700X | LCSW127134 | CA | Primary |
| Clinical Social Worker | 1041C0700X |
Addresses
Primary practice location
950 W Sierra Madre Ave Apt 512
Azusa, CA 91702-1870
Mailing address
950 W Sierra Madre Ave Apt 512
Azusa, CA 91702-1870
Other practice location 1
2550 E Foothill Blvd
Pasadena, CA 91107-3406
Phone (626) 463-1021
Other practice location 2
1556 S Sultana Ave
Ontario, CA 91761-4238
Phone (909) 418-6923
Other names 1
- Amanda Hernandez
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCSW127134 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1516147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769385600000",
"number": "1841708401",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "950 W SIERRA MADRE AVE APT 512",
"city": "AZUSA",
"state": "CA",
"postal_code": "917021870"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "950 W SIERRA MADRE AVE APT 512",
"city": "AZUSA",
"state": "CA",
"postal_code": "917021870",
"telephone_number": "626-470-7739"
}
],
"practiceLocations": [
{
"address_1": "2550 E Foothill Blvd",
"address_purpose": "LOCATION",
"city": "Pasadena",
"state": "CA",
"postal_code": "911073406",
"country_code": "US",
"telephone_number": "626-463-1021",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1556 S Sultana Ave",
"address_purpose": "LOCATION",
"city": "Ontario",
"state": "CA",
"postal_code": "917614238",
"country_code": "US",
"telephone_number": "909-418-6923",
"fax_number": "909-418-6937",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MENDOZA",
"first_name": "AMANDA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-01-17",
"last_updated": "2026-01-26",
"certification_date": "2026-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCSW127134",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "AMANDA",
"last_name": "HERNANDEZ",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Azusa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.