Individual provider Active NPI

Ayaka Lingard, CSW

  • Social Worker
  • Layton, UT
National Provider Identifier
1023792843
Registry record updated Jun 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
12927031-3502 Issued in UT
Practice address
1133 N Main St Ste 130
Layton, UT 84041-4830
Phone
(801) 833-7536
NPI assigned
Jun 12, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 12, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 12927031-3502 UT Primary

Addresses

Primary practice location

1133 N Main St Ste 130
Layton, UT 84041-4830

Mailing address

48 W 850 S
Layton, UT 84041-7510
Phone (801) 864-3832

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
12927031-3502UTMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mountainside Counseling Services CurrentSince Jun 18, 2023 Accepting new patients

Locations

1133 N Main St
Ste 100
Layton, UT 84041
Phone (801) 546-4368

1133 N Main St
Ste 130
Layton, UT 84041
Phone (801) 628-6397

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1686528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686528000000",
    "number": "1023792843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 W 850 S",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840417510",
            "telephone_number": "801-864-3832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1133 N MAIN ST STE 130",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840414830",
            "telephone_number": "801-833-7536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINGARD",
        "first_name": "AYAKA",
        "credential": "CSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-12",
        "last_updated": "2023-06-12",
        "certification_date": "2023-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "UT",
            "license": "12927031-3502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Layton, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.