Active NPI
Amber Ansari
- Clinical Social Worker
- Carlsbad, CA
National Provider Identifier
1194441899
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 105276
- Practice address
- 1739 Bluebird LN
Carlsbad, CA 92011-2781 - Phone
- (281) 781-3867
- NPI assigned
- Oct 13, 2022
- 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 | 105276 | CA | Primary |
Addresses
Primary practice location
1739 Bluebird LN
Carlsbad, CA 92011-2781
Mailing address
1739 Bluebird LN
Carlsbad, CA 92011-2781
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 105276 | Other | CA | CA BBS |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | aansari@lyraclinical.com | Direct | Lyra Clinical Associates P.C. |
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 |
|---|---|---|---|
| 105276 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1665619200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665619200000",
"number": "1194441899",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1739 BLUEBIRD LN",
"city": "CARLSBAD",
"state": "CA",
"postal_code": "920112781"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1739 BLUEBIRD LN",
"city": "CARLSBAD",
"state": "CA",
"postal_code": "920112781",
"telephone_number": "281-781-3867"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANSARI",
"first_name": "AMBER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-10-13",
"last_updated": "2022-10-13",
"certification_date": "2022-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "105276",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CA BBS",
"identifier": "105276",
"state": "CA"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "aansari@lyraclinical.com",
"affiliation": "Y",
"endpointDescription": "Employer Email Address",
"affiliationName": "Lyra Clinical Associates P.C.",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Email",
"address_1": "287 Lorton Ave",
"city": "Burlingame",
"state": "CA",
"country_code": "US",
"postal_code": "940104203",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Carlsbad, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.