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AMANDA LEE CARRILLO LCSW
NPI 1477804227
Social Worker - Clinical in Fullerton, CA

Active since September 19, 2012PECOS Enrolled
3621 W ASH AVE, FULLERTON, CA 92833(714) 872-0034(213) 935-8728 Get Directions Write a Review

NPPES record last updated: November 29, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Amanda Lee Carrillo Lcsw NPPES

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

AMANDA LEE CARRILLO LCSW (NPI 1477804227) is an individual clinical provider in Fullerton, California, licensed in California (LCSW82461) and active in the NPI registry since September 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1477804227
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameAMANDA LEE CARRILLOCredential: LCSW
Location Address3621 W ASH AVEFullerton, CA 92833-3107
Mailing Address3621 W Ash AveFullerton, CA 92833-3107 · (714) 872-0034
Phone(714) 872-0034
Fax(213) 935-8728
Sole ProprietorYes
Enumeration DateSeptember 19, 2012
Last NPPES UpdateNovember 29, 2019
✔ NPI 1477804227 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in CA · LCSW82461
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 ASW36736 (CA)
3621 W ASH AVE, Fullerton, CA 92833
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amanda Lee Carrillo 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Amanda Carrillo reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mental Health And Nursing PC
2.1 mi
Psychiatric/Mental Health
421 N BROOKHURST ST STE 119
Anaheim, CA 92801
  • Reassigned Medicare billing, California enrollment
  • 40 clinicians in this Medicare group
NPI 1528693579 (714) 361-0898
Rcmh, Nursing Corporation
4.4 mi
Psychiatric/Mental Health
6101 BALL RD STE 214
Cypress, CA 90630
  • Reassigned Medicare billing, California enrollment
  • 10 clinicians in this Medicare group
NPI 1043187776 (714) 333-3559

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 92833 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.

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 Amanda Carrillo's NPI number?

The NPI number for Amanda Carrillo is 1477804227. It was assigned to this individual provider in the NPPES registry on September 19, 2012.

Where is Amanda Carrillo located?

Amanda Carrillo practices at 3621 W Ash Ave, Fullerton, CA 92833. The listed phone number is (714) 872-0034.

What is Amanda Carrillo's specialty?

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

Is Amanda Carrillo enrolled in Medicare?

Yes. Amanda Carrillo is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Amanda Carrillo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amanda Carrillo reassigns Medicare benefits to 2 organizations: Mental Health And Nursing PC (Anaheim, CA) and Rcmh, Nursing Corporation (Cypress, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Amanda Carrillo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Amanda Carrillo was last updated on November 29, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.