Individual provider Active NPI

Amber Enriquez, LCSW, C-ACYFSW

  • Clinical Social Worker
  • Goodyear, AZ
National Provider Identifier
1326750407
Registry record updated Dec 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
500 N Estrella Pkwy Ste B2-272
Goodyear, AZ 85338-4135
Phone
(602) 699-6171
Fax
(833) 474-1228
NPI assigned
Dec 20, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X AZ Primary

Addresses

Primary practice location

500 N Estrella Pkwy Ste B2-272
Goodyear, AZ 85338-4135

Mailing address

500 N Estrella Pkwy Ste B2-272
Goodyear, AZ 85338-4135
Phone (602) 699-6171

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://estrellafamilycareandaesthetics.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20240819003465 AZ Practitioner - Clinical Social Worker 8123566387 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Estrella Family Care and Aesthetics LLC CurrentSince Jun 7, 2024 Accepting new patients

Locations

500 N Estrella Pkwy
Ste B2272
Goodyear, AZ 85338
Phone (602) 501-2352

500 N Estrella Pkwy
Ste B2
Goodyear, AZ 85338
Phone (602) 661-0200

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/25268/brand/1/csg/1/fhir/r4

Organizations & group practices 1

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": "1671494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671494400000",
    "number": "1326750407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 N ESTRELLA PKWY STE B2-272",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853384135",
            "telephone_number": "602-699-6171",
            "fax_number": "833-474-1228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 N ESTRELLA PKWY STE B2-272",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853384135",
            "telephone_number": "602-699-6171",
            "fax_number": "833-474-1228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENRIQUEZ",
        "first_name": "AMBER",
        "credential": "LCSW, C-ACYFSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-20",
        "last_updated": "2022-12-20",
        "certification_date": "2022-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://estrellafamilycareandaesthetics.com",
            "affiliation": "N",
            "address_1": "500 N Estrella Pkwy Ste B2-272",
            "city": "Goodyear",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "853384135",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Goodyear, AZ

Sources for this page

Verify at the official NPI Registry.