Individual provider Active NPI

Amanda Jean Drozd

  • Clinical Social Worker
  • West Covina, CA
National Provider Identifier
1912376823
Registry record updated Aug 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
105010 Issued in CA
Practice address
1530 W Cameron Ave
West Covina, CA 91790-2711
Phone
(626) 993-3000
NPI assigned
Sep 21, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 10, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X CA
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 105010 CA Primary

Addresses

Primary practice location

1530 W Cameron Ave
West Covina, CA 91790-2711

Mailing address

1512 Hollencrest Dr
West Covina, CA 91791-3715
Phone (909) 524-9632

Other names 1

  • Amanda Tognetti Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • 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
I20220901002974 CA Practitioner - Clinical Social Worker 9335523760 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mindful Lemon Marriage and Family Therapy IncGroup PAC ID 8921499096, 38 clinicians

Practice addresses (Care Compare)

Santa Clarita, CA 91350
Phone (855) 435-3801

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
105010CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
TML Behavioral Health Group LLC CurrentSince Apr 21, 2024 Accepting new patients
Mindful Lemon Marriage and Family Therapy, Inc Clinical CurrentSince Aug 19, 2022 Accepting new patients

Locations

21125 Centre Pointe Pkwy
Santa Clarita, CA 91350
Phone (554) 353-8018

106 Langtree Village Dr
Ste 301
Mooresville, NC 28117
Phone (704) 457-1368

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": "1442793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660089600000",
    "number": "1912376823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1512 HOLLENCREST DR",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917913715",
            "telephone_number": "909-524-9632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530 W CAMERON AVE",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917902711",
            "telephone_number": "626-993-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DROZD",
        "first_name": "AMANDA",
        "middle_name": "JEAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-21",
        "last_updated": "2022-08-10",
        "certification_date": "2022-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "105010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "TOGNETTI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in West Covina, CA

Sources for this page

Verify at the official NPI Registry.