Individual provider Active NPI

Alexis Higuera Ambriz, LCSW

  • Clinical Social Worker
  • Hempstead, NY
National Provider Identifier
1124615364
Registry record updated Jul 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
100522 Issued in NY
Practice address
344 Fulton Ave
Hempstead, NY 11550-3923
Phone
(516) 538-2613
NPI assigned
Dec 22, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 110476-01 NY
Clinical Social Worker 1041C0700X 100522 NY Primary

Addresses

Primary practice location

344 Fulton Ave
Hempstead, NY 11550-3923

Mailing address

344 Fulton Ave
Hempstead, NY 11550-3923
Phone (516) 538-2613

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250825002893 NY Practitioner - Clinical Social Worker 6709386600 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
State University of New York at Stony Brook, School of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hispanic Counseling Center IncGroup PAC ID 6507757283, 5 clinicians

Practice addresses (Care Compare)

344 Fulton Ave
Hempstead, NY 11550-3923
Phone (516) 538-2613

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
110476-01NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Hispanic Counseling Center, Inc CurrentSince Jul 1, 2025 Accepting new patients

Locations

85 W Main St
Ste 101
Bay Shore, NY 11706
Phone (631) 301-4868

344 Fulton Ave
Hempstead, NY 11550
Phone (516) 538-2613

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": "1608595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752105600000",
    "number": "1124615364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "344 FULTON AVE",
            "city": "HEMPSTEAD",
            "state": "NY",
            "postal_code": "115503923",
            "telephone_number": "516-538-2613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "344 FULTON AVE",
            "city": "HEMPSTEAD",
            "state": "NY",
            "postal_code": "115503923",
            "telephone_number": "516-538-2613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIGUERA AMBRIZ",
        "first_name": "ALEXIS",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-12-22",
        "last_updated": "2025-07-10",
        "certification_date": "2025-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "110476-01",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "100522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hempstead, NY

Sources for this page

Verify at the official NPI Registry.