MS. AMANDA JEAN PARKER (LCSW) – Clinical Social Worker, NPI 1477029866

MS. AMANDA JEAN PARKER (LCSW) is a healthcare provider. based in Los angeles, California. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW. They hold a License No. 85682 (CA). The NPI Number for MS. AMANDA JEAN PARKER (LCSW) is 1477029866

Main info

Female
Sole Proprietor
43 Years Of Experience
Accepts Medicare Assignment
Name
MS. AMANDA JEAN PARKER (LCSW)
NPI
1477029866
Phone
(310) 755-8375
Address
2861 Malcolm Ave.
Enumeration Date
23 October 2018
Last Update Date
23 October 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9092955805
Graduation Year
1983 (43 years ago)
PAC ID
8123475654
Group Practice PAC ID
1658744974
Professional Enrollment ID
I20231106001359
Address ID
CA917647974ON3633XBLVD402
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:7State licenses:1Digital endpointsOther names

4,987 CLINICAL SOCIAL WORKER in CA

Provider Addresses for MS. AMANDA JEAN PARKER (LCSW)

  • 2861 Malcolm Ave.

    Los Angeles, CA 900644211

    Phone: (310) 755-8375

    Type: Location

  • 2861, Malcolm Avenue, Rancho Park, Los Angeles, Los Angeles County, California, 90064, United States

    LOS ANGELES, CA 900644211

    Phone: (310) 755-8375

    Type: Mailing

  • 6368, Hollywood Boulevard, Whitley Heights Historic District, Hollywood, Los Angeles, Los Angeles County, California, 90028, United States

    LOS ANGELES, CA 900286320

    Phone: (323) 469-5555

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-11-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20231106001359IClinical Social WorkerCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 90064)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1658744974View full group profile
NameSpecialtyState
Clinical Social WorkerCA
Marriage And Family TherapistCA
Clinical Social WorkerCA
Clinical Social WorkerCA
Clinical Social WorkerCA
Marriage And Family TherapistCA
Marriage And Family TherapistCA
Marriage And Family TherapistCA
Marriage And Family TherapistCA

Reviews

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Frequently asked questions

Can I use this page to confirm MS. AMANDA JEAN PARKER (LCSW)'s NPI?
Yes. MS. AMANDA JEAN PARKER (LCSW) is listed with NPI 1477029866 in the public NPI dataset.
Can I rely on MS. AMANDA JEAN PARKER (LCSW) being an active provider?
As of the registry snapshot, MS. AMANDA JEAN PARKER (LCSW) is marked active.
What healthcare role does MS. AMANDA JEAN PARKER (LCSW) hold?
Scheduling teams often label MS. AMANDA JEAN PARKER (LCSW) under Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Where is MS. AMANDA JEAN PARKER (LCSW) based?
MS. AMANDA JEAN PARKER (LCSW) is tied to Los Angeles, California in the data we show; additional addresses may exist on the full record.
Why does MS. AMANDA JEAN PARKER (LCSW) have multiple addresses?
3 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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