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

Individual provider Clinical Social Worker · NPI 1356411888

Amy Johnson Shafer, LCSW is a Clinical Social Worker in Newbury Park, California. Qualified in 1991, 35 years ago. Practices with Ebrahim Hazany MD a Medical Corporation, a 2-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
35
Licensed in
CA
In the registry since
2006
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

1000 Newbury Rd #240
Newbury Park, CA 91320-6435
Phone: (805) 498-1400
Fax: (805) 498-1411
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 16945 (CA)

Record details

NPI number1356411888
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedNovember 9, 2006
Last updated in NPPESJuly 8, 2007

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1991 (35 years in practice)
Group practice Ebrahim Hazany Md A Medical Corporation — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Newbury Park