Amanda Cecilia Pena, LSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

SW139142 Issued in PA

Practice address

2424 E York St Ste 301a
Philadelphia, PA 19125-3049

Phone

(215) 469-1668

NPI assigned

Jan 21, 2026

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Mindful Essence Therapeutic Services, LLC

  • Adult Mental Health Clinic/Center
  • Philadelphia, PA
  • NPI 1043085566
  NPD (past)

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

{
    "created_epoch": "1768953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768953600000",
    "number": "1871452086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2290 W OREGON AVE # 1186",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191454197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2424 E YORK ST STE 301A",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191253049",
            "telephone_number": "215-469-1668"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1318 S Ruby St",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191434928",
            "country_code": "US",
            "telephone_number": "562-328-4092",
            "fax_number": "562-328-4092",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PENA",
        "first_name": "AMANDA",
        "middle_name": "CECILIA",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-01-21",
        "last_updated": "2026-01-21",
        "certification_date": "2026-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW139142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brenda A Pemberton
• Lily Kathryn Pemberton, MD
• Brittany Pembleton, RN
• Jaclyn Dean Pembleton, PSYD
• Damaris Elixandra Pena Evertz, M.D.
• Dominga Pena, BS
• Michelle-Marie Pena, M.D.
• Nicolas Andres Pena
• Raquel Pena, PH.D.
• Stacey Pena

• Social Worker in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 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.

Verify at the official NPI Registry.