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

Individual provider Mental Health Counselor · NPI 1477804227

Amanda Lee Carrillo, LCSW is a Mental Health Counselor in Fullerton, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2012
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

3621 W Ash Ave
Fullerton, CA 92833-3107
Phone: (714) 872-0034
Fax: (213) 935-8728
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Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence LCSW82461 (CA)
Mental Health Counselor Taxonomy 101YM0800X · Licence ASW36736 (CA)

Record details

NPI number1477804227
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedSeptember 19, 2012
Last updated in NPPESNovember 29, 2019
Mailing address3621 W Ash Ave, Fullerton, CA 92833-3107

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