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MISS SALLY AMAYA LCSW
NPI 1013270719
Social Worker - Clinical in Ontario, CA

Active since June 19, 2012PECOS Enrolled
4684 ONTARIO MILLS PKWY STE 200, ONTARIO, CA 91764(909) 667-0896 Get Directions Write a Review

NPPES record last updated: June 22, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 25, 2023, Apr 18, 2022 (2 updates tracked since 2022).

About Miss Sally Amaya Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MISS SALLY AMAYA LCSW (NPI 1013270719) is an individual clinical provider in Ontario, California, licensed in California (99997) and active in the NPI registry since June 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1013270719
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMISS SALLY AMAYACredential: LCSW
Location Address4684 ONTARIO MILLS PKWY STE 200Ontario, CA 91764-5151
Mailing Address4684 Ontario Mills Pkwy Ste 200Ontario, CA 91764-5151 · (626) 201-3569
Phone(909) 667-0896
Sole ProprietorYes
Enumeration DateJune 19, 2012
Last NPPES UpdateJune 22, 20262 updates tracked since enumeration
NPPES CertifiedJune 22, 2026
✔ NPI 1013270719 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in CA · 99997
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
4684 ONTARIO MILLS PKWY STE 200, Ontario, CA 91764
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Miss Sally Amaya Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91764 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $59.60 – $179.42
Typical copayment $0.00 (range $14.90 – $44.85)
Most-billed visit code NA
Established Patient
$74.08 typical visit price
range $19.37 – $146.42
Typical copayment $18.52 (range $4.84 – $36.60)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. MELISSA LOU KOERNER LCSW
Social Worker (Clinical)
4684 ONTARIO MILLS PKWY STE 200
ONTARIO, CA 91764
San Bernardino County (941) 777-0868
MARIA JARAMILLO LCSW
Social Worker (Clinical)
4684 ONTARIO MILLS PKWY STE 200
ONTARIO, CA 91764
San Bernardino County (951) 337-7646
WHOLISTIC HEALING LICENSED CLINICAL SOCIAL WORKER INC
Social Worker (Clinical)
4684 ONTARIO MILLS PKWY STE 200
ONTARIO, CA 91764
San Bernardino County (909) 667-0896
LAUREN ALISSA MARINERO
Social Worker (Clinical)
4684 ONTARIO MILLS PKWY STE 200
ONTARIO, CA 91764
San Bernardino County (909) 321-6565

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sally Amaya's NPI number?

The NPI number for Sally Amaya is 1013270719. It was assigned to this individual provider in the NPPES registry on June 19, 2012.

Where is Sally Amaya located?

Sally Amaya practices at 4684 Ontario Mills Pkwy Ste 200, Ontario, CA 91764. The listed phone number is (909) 667-0896.

What is Sally Amaya's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Sally Amaya enrolled in Medicare?

Yes. Sally Amaya is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Sally Amaya was last updated on June 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 42 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.