Amanda Lee Carrillo, LCSW is a
Social Worker - Clinical based in Fullerton, California. Amanda Lee Carrillo is licensed to practice in California (license number LCSW82461) and her current practice location is
3621 W Ash Ave, Fullerton, California. She can be reached at her office (for appointments etc.) via phone at
(714) 872-0034.
NPI number for Amanda Lee Carrillo is 1477804227 and her current mailing address is 3621 W Ash Ave, Fullerton, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1477804227.
Healthcare Provider's Profile
Full Name | Amanda Lee Carrillo |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 3621 W Ash Ave, Fullerton, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1477804227
- Provider Enumeration Date: 09/19/2012
- Last Update Date: 11/29/2019
Medical Identifiers
Medical identifiers for Amanda Lee Carrillo such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1477804227 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | ASW36736 (California) | Secondary |
1041C0700X | Social Worker - Clinical | LCSW82461 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Amanda Lee Carrillo is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Amanda Lee Carrillo, LCSW 3621 W Ash Ave, Fullerton, CA 92833-3107 Ph: (714) 872-0034 | Amanda Lee Carrillo, LCSW 3621 W Ash Ave, Fullerton, CA 92833-3107 Ph: (714) 872-0034 |
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