Active NPI
Amber Rodriguez-Young
- Clinical Social Worker
- Tempe, AZ
National Provider Identifier
1124994066
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW-23350
- Practice address
- 4657 S Lakeshore Dr Ste 1
Tempe, AZ 85282-7170 - Phone
- (480) 236-9873
- NPI assigned
- Oct 16, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCSW-23350 | AZ | Primary |
Addresses
Primary practice location
4657 S Lakeshore Dr Ste 1
Tempe, AZ 85282-7170
Mailing address
510 N Alma School Rd Unit 109
Mesa, AZ 85201-5455
Phone (480) 236-9873
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
| License | State | Type | Specialty |
|---|---|---|---|
| LCSW-23350 | AZ | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1760572800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760572800000",
"number": "1124994066",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "510 N ALMA SCHOOL RD UNIT 109",
"city": "MESA",
"state": "AZ",
"postal_code": "852015455",
"telephone_number": "480-236-9873"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4657 S LAKESHORE DR STE 1",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852827170",
"telephone_number": "480-236-9873"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ-YOUNG",
"first_name": "AMBER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-10-16",
"last_updated": "2025-10-16",
"certification_date": "2025-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "AZ",
"license": "LCSW-23350",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tempe, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.