Individual provider Active NPI

Amber Faulhaber, LCSW

  • Clinical Social Worker
  • Jacksonville Beach, FL
National Provider Identifier
1376487488
Registry record updated Apr 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW26363 Issued in FL
Practice address
4300 Marsh Landing Blvd Ste 101
Jacksonville Beach, FL 32250-1419
Phone
(904) 686-8055
Fax
(904) 686-8105
NPI assigned
Apr 17, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 23, 2026

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 SW26363 FL Primary

Addresses

Primary practice location

4300 Marsh Landing Blvd Ste 101
Jacksonville Beach, FL 32250-1419

Mailing address

4300 Marsh Landing Blvd Ste 101
Jacksonville Beach, FL 32250-1419
Phone (904) 686-8055

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20260501003353 FL Practitioner - Clinical Social Worker 2860960440 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dna Comprehensive Therapy Services LLCGroup PAC ID 2860619632, 446 clinicians

Practice addresses (Care Compare)

4300 Marsh Landing Blvd
Suite 101
Jacksonville Beach, FL 32250-1419
Phone (833) 362-7935

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW26363FLMDClinical Social Worker

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": "1776384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776902400000",
    "number": "1376487488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 MARSH LANDING BLVD STE 101",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322501419",
            "telephone_number": "904-686-8055",
            "fax_number": "904-686-8105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 MARSH LANDING BLVD STE 101",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322501419",
            "telephone_number": "904-686-8055",
            "fax_number": "904-686-8105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAULHABER",
        "first_name": "AMBER",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-04-17",
        "last_updated": "2026-04-23",
        "certification_date": "2026-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW26363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville Beach, FL

Sources for this page

Verify at the official NPI Registry.