Rose Lydia Ayars, LICSW
Individual provider Active NPI Clinical Social Worker · Liberty Lake, WA
NPI 1154745883 · NPPES record last updated Sep 18, 2023
Key facts
- NPI
- 1154745883
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- CSW.09924226 (CO)
- Practice address
- 22875 E Edgewater LN
Liberty Lake, WA 99019-4520 - Phone
- (720) 557-7111
- NPI assigned
- Feb 17, 2014
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Sondermind PA
Brightside Medical PC
Practice addresses (Care Compare)
1400 112TH Ave SE
Suite 100
Bellevue, WA 98004-6901
Phone (866) 630-0966
2029 Century Park E
Suite 400 Office 478
Los Angeles, CA 90067-2957
Phone (415) 360-3348
2829 Buena Vista Rd
Nyssa, OR 97913-5301
Phone (866) 630-0966
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (3 enrollments) in WA, OR, CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231120001489 | WA | Practitioner - Clinical Social Worker | 3173746682 | Reassigns benefits to 1 organization |
| I20251217004093 | OR | Practitioner - Clinical Social Worker | 3173746682 | Reassigns benefits to 1 organization |
| I20260310003974 | CA | Practitioner - Clinical Social Worker | 3173746682 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CSW.09924226 | CO | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brightside Medical, P.C. | Current |
Accepting new patients | |
| Brightside Medical, P.C. | Current |
Accepting new patients | |
| Sondermind, P.a. | Clinical | Current |
Accepting new patients |
Locations
2261 Market St
San Francisco, CA 94114
Phone (213) 337-4615
1400 112th Ave SE
Ste 100
Bellevue, WA 98004
Phone (425) 455-2526
2103 Harrison Ave NW
Olympia, WA 98502
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | CSW.09924226 | CO | Yes |
Addresses
Primary practice location
22875 E Edgewater LN
Liberty Lake, WA 99019-4520
Mailing address
22875 E Edgewater LN
Liberty Lake, WA 99019-4520
Phone (720) 557-7111
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 61413633 | Other | WA | LCSW LICENSE |
Other providers in Liberty Lake, WA
- Allied Pathology, PC
- Taylor Ann Anderson
- Arrowleaf Family Chiropractic, PLLC
- Susan L. Ashley
- Avanta Dental Liberty Lake
- Carrie Lynn Ayer
- Gloria Esmeralda Badillo
- Drostan Gregg Baker
- Caryn Baksis
- Barrett Family Chiropractic
All providers in Liberty Lake, WA · Clinical Social Worker in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 18, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.