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CELENE MEDINA-AMADOR
NPI 1972270346
Social Worker - Clinical in Yucaipa, CA

Active since August 24, 2021PECOS EnrolledAccepts Medicare Assignment
12219 5TH ST, YUCAIPA, CA 92399(909) 583-3113 Get Directions Write a Review

NPPES record last updated: December 31, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 31, 2021, Aug 24, 2021 (2 updates tracked since 2021).

About Celene Medina-amador NPPES

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

CELENE MEDINA-AMADOR (NPI 1972270346) is an individual clinical provider in Yucaipa, California, licensed in California (101323) and active in the NPI registry since August 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1972270346
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameCELENE MEDINA-AMADOR
Location Address12219 5TH STYucaipa, CA 92399-2483
Mailing Address12219 5th StYucaipa, CA 92399-2483 · (909) 583-3113
Phone(909) 583-3113
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateAugust 24, 2021
Last NPPES UpdateDecember 31, 20212 updates tracked since enumeration
NPPES CertifiedDecember 31, 2021
✔ NPI 1972270346 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 · 101323
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.
12219 5TH ST, Yucaipa, CA 92399
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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 and accepts Medicare assignment

Celene Medina-amador is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID648665844
PECOS Enrollment IDI20220325001673
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 92399 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.

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 Celene Medina-amador's NPI number?

The NPI number for Celene Medina-amador is 1972270346. It was assigned to this individual provider in the NPPES registry on August 24, 2021.

Where is Celene Medina-amador located?

Celene Medina-amador practices at 12219 5th St, Yucaipa, CA 92399. The listed phone number is (909) 583-3113.

What is Celene Medina-amador's specialty?

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

Is Celene Medina-amador enrolled in Medicare?

Yes. Celene Medina-amador is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Celene Medina-amador was last updated on December 31, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.