AMANDA MARTIN
NPI 1235500091
Social Worker - Clinical in San Dimas, CA

Q: What is Amanda Martin's NPI number?

The NPI number for Amanda Martin is 1235500091. It was assigned to this individual provider in the NPPES registry on October 19, 2015.

Q: What is Amanda Martin's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Amanda Martin was last updated on January 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.

Active since October 19, 2015PECOS Enrolled

762 CYPRESS ST, SAN DIMAS, CA 91773(909) 599-1227 Get Directions Write a Review

NPPES record last updated: January 9, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 9, 2023, Jul 17, 2019 (2 updates tracked since 2019).

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About Amanda Martin NPPES

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

AMANDA MARTIN (NPI 1235500091) is an individual clinical provider in San Dimas, California, licensed in California (111168) and active in the NPI registry since October 2015. She is enrolled in Medicare PECOS and maintains a secondary practice location in Henderson.

NPPES Registry Identity

NPI1235500091

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameAMANDA MARTIN

Location Address762 CYPRESS STSan Dimas, CA 91773

Mailing Address762 Cypress St # 107San Dimas, CA 91773-3505 · (909) 599-1227 · Fax (702) 944-7846

Phone(909) 599-1227

Sole ProprietorNo

Enumeration DateOctober 19, 2015

Last NPPES UpdateJanuary 9, 20232 updates tracked since enumeration

NPPES CertifiedJanuary 9, 2023

✔ NPI 1235500091 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in CA · 111168

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.

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 89378 (CA)

Also ListedRehabilitation CounselorTaxonomy 225C00000X

762 CYPRESS ST, San Dimas, CA 91773

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Secondary Practice Location 1

Location 11485 W Warm Springs Rd, # 107Henderson, NV 89014-7631 · Phone (702) 547-0201 · Fax (702) 944-7846

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amanda Martin 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.

Medicare Billing Reassignment

Medicare enrollment records show Amanda Martin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Grow Healthcare Group PC

320 mi

Mental Health

99 S ALMADEN BLVD STE 600
San Jose, CA 95113

Reassigned Medicare billing, California enrollment
3,139 clinicians in this Medicare group

NPI 1154994846 (408) 402-4385

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91773 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 $62.96 – $187.60

Typical copayment $0.00 (range $15.74 – $46.90)

Most-billed visit code NA

Established Patient

$77.96 typical visit price

range $20.84 – $153.61

Typical copayment $19.49 (range $5.21 – $38.40)

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 20

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

MAYRA AMIGON

Case Manager/Care Coordinator