Individual provider Active NPI

Amber Faille, LCSW

  • Clinical Social Worker
  • Plumas Lake, CA
National Provider Identifier
1417472135
Registry record updated Apr 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
129737 Issued in CA
Practice address
845 Hennessey Way
Plumas Lake, CA 95961-9224
Phone
(619) 548-4633
NPI assigned
Aug 3, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 21, 2025

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 129737 CA Primary

Addresses

Primary practice location

845 Hennessey Way
Plumas Lake, CA 95961-9224

Mailing address

845 Hennessey Way
Plumas Lake, CA 95961-9224
Phone (619) 548-4633

Other practice location 1

7339 El Cajon Blvd Ste J
LA Mesa, CA 91942
Phone (619) 668-6200

Other names 1

  • Amber Hill Former name

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

LicenseStateTypeSpecialty
129737CAMDMental Health Counselor

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1501718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745193600000",
    "number": "1417472135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "845 HENNESSEY WAY",
            "city": "PLUMAS LAKE",
            "state": "CA",
            "postal_code": "959619224",
            "telephone_number": "619-548-4633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "845 HENNESSEY WAY",
            "city": "PLUMAS LAKE",
            "state": "CA",
            "postal_code": "959619224",
            "telephone_number": "619-548-4633"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7339 El Cajon Blvd Ste J",
            "address_purpose": "LOCATION",
            "city": "LA Mesa",
            "state": "CA",
            "postal_code": "91942",
            "country_code": "US",
            "telephone_number": "619-668-6200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FAILLE",
        "first_name": "AMBER",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-03",
        "last_updated": "2025-04-21",
        "certification_date": "2025-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "129737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMBER",
            "last_name": "HILL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Plumas Lake, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.