Active NPI
Amber Flinn, LMSW
- Clinical Social Worker
- Ankeny, IA
National Provider Identifier
1275374357
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 124535
- Practice address
- 1105 N Ankeny Blvd Ste 100
Ankeny, IA 50023-4003 - Phone
- (866) 671-1115
- NPI assigned
- Jun 4, 2024
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 124535 | IA | |
| Professional Counselor | 101YP2500X | 124535 | IA | |
| Clinical Psychologist | 103TC0700X | 124535 | IA | |
| Marriage & Family Therapist | 106H00000X | 124535 | IA | |
| Clinical Social Worker | 1041C0700X | 124535 | IA | Primary |
Addresses
Primary practice location
1105 N Ankeny Blvd Ste 100
Ankeny, IA 50023-4003
Mailing address
617 Alpha St NW
Bondurant, IA 50035-1439
Phone (515) 210-7816
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 |
|---|---|---|---|
| 124535 | IA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1717459200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717459200000",
"number": "1275374357",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "617 ALPHA ST NW",
"city": "BONDURANT",
"state": "IA",
"postal_code": "500351439",
"telephone_number": "515-210-7816"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1105 N ANKENY BLVD STE 100",
"city": "ANKENY",
"state": "IA",
"postal_code": "500234003",
"telephone_number": "866-671-1115"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLINN",
"first_name": "AMBER",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-06-04",
"last_updated": "2024-06-04",
"certification_date": "2024-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "IA",
"license": "124535",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IA",
"license": "124535",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "IA",
"license": "124535",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "IA",
"license": "124535",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IA",
"license": "124535",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ankeny, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.