Individual provider Active NPI

Amber Lee Crosby, MSW, LISW

  • Clinical Social Worker
  • Des Moines, IA
National Provider Identifier
1194226670
Registry record updated Jun 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
007724 Issued in IA
Practice address
3523 6TH Ave Ste 103
Des Moines, IA 50313-4140
Phone
(515) 494-1024
NPI assigned
Feb 21, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2023

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 IA
Clinical Social Worker 1041C0700X 007724 IA Primary

Addresses

Primary practice location

3523 6TH Ave Ste 103
Des Moines, IA 50313-4140

Mailing address

3523 6TH Ave Ste 103
Des Moines, IA 50313-4140
Phone (515) 494-1024

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20200513002025 IA Practitioner - Clinical Social Worker 8527499227 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3523 6TH Ave
Suite 103
Des Moines, IA 50313-4193
Phone (515) 494-1024

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
007724IAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Ananda Mental Wellness and Yoga, LLC CurrentSince Apr 15, 2020 Accepting new patients
Synergy Clinical Services of Central Iowa LLC Social Worker PastSince Jul 17, 2020 Accepting new patients
Synergy Clinical Services, L.L.C. Social Worker PastSince Jan 26, 2020 Accepting new patients

Locations

4685 Merle Hay Rd
Ste 108
Des Moines, IA 50322
Phone (515) 318-7317

3523 6th Ave
Ste 103
Des Moines, IA 50313
Phone (515) 494-1024

Organizations & group practices 3

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": "1519171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687392000000",
    "number": "1194226670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3523 6TH AVE STE 103",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503134140",
            "telephone_number": "515-494-1024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3523 6TH AVE STE 103",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503134140",
            "telephone_number": "515-494-1024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROSBY",
        "first_name": "AMBER",
        "middle_name": "LEE",
        "credential": "MSW, LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-21",
        "last_updated": "2023-06-22",
        "certification_date": "2022-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IA",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "007724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Moines, IA

Sources for this page

Verify at the official NPI Registry.