Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Amancay Ledezma, ASW

Individual provider Adult Mental Health Clinic/Center · NPI 1114540143

Amancay Ledezma, ASW is an Adult Mental Health Clinic/Center in Los Angeles, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2020
Specialties on file
2

Practice location Address checks out

12560 W Washington Blvd
Los Angeles, CA 90066
Phone: (323) 813-6218
Fax: (888) 308-0861
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X · Licence 94315 (CA)
Adult Mental Health Clinic/Center Taxonomy 261QM0850X · Licence LCSW28777 (CA)

Record details

NPI number1114540143
Entity typeIndividual (Type 1)
GenderFemale
Credentials ASW
Sole proprietorYes
NPI enumeratedMay 26, 2020
Last updated in NPPESOctober 12, 2023
Certification dateJune 3, 2020

Other providers in Los Angeles