Individual provider Active NPI

Rebecca Amavizca, LCSW

  • Clinical Social Worker
  • West Covina, CA
National Provider Identifier
1982113353
Registry record updated Aug 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
132991 Issued in CA
Practice address
2155 E Garvey Ave N Ste B17
West Covina, CA 91791-1545
Phone
(626) 489-9144
NPI assigned
Sep 28, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 132991 CA Primary

Addresses

Primary practice location

2155 E Garvey Ave N Ste B17
West Covina, CA 91791-1545

Mailing address

2155 E Garvey Ave N Ste B17
West Covina, CA 91791-1545
Phone (626) 489-9144

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
I20251001002426 CA Practitioner - Clinical Social Worker 7012413768 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2155 E Garvey Ave N
Suite B17
West Covina, CA 91791-1545

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Through the Sea Marriage and Family Counseling Inc Clinical CurrentSince Aug 26, 2025 Accepting new patients
Descanso Home Health Services PastSince Aug 26, 2025 Accepting new patients

Locations

2155 E Garvey Ave N
Ste B17
West Covina, CA 91791
Phone (626) 489-9114

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": "1506556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756080000000",
    "number": "1982113353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2155 E GARVEY AVE N STE B17",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917911545",
            "telephone_number": "626-489-9144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2155 E GARVEY AVE N STE B17",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917911545",
            "telephone_number": "626-489-9144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMAVIZCA",
        "first_name": "REBECCA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-28",
        "last_updated": "2025-08-25",
        "certification_date": "2025-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "132991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Covina, CA

Sources for this page

Verify at the official NPI Registry.