Active NPI
Katherine Laing Ambia, LMSW
- Clinical Social Worker
- Jackson Heights, NY
National Provider Identifier
1427520154
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 094706
- Practice address
- 3708 91St St Ste 3a
Jackson Heights, NY 11372-7962 - Phone
- (718) 779-2263
- NPI assigned
- Dec 19, 2018
- 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 | 094706 | NY | Primary |
Addresses
Primary practice location
3708 91St St Ste 3a
Jackson Heights, NY 11372-7962
Mailing address
3708 91St St Ste 3a
Jackson Heights, NY 11372-7962
Phone (718) 779-2263
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 |
|---|---|---|---|
| 094706 | NY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mental Health Providers of Western Queens | Past | Accepting new patients |
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.
-
- Community/Behavioral Health Agency
- Jackson Heights, NY
- NPI 1104200294
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1545177600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1545177600000",
"number": "1427520154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3708 91ST ST STE 3A",
"city": "JACKSON HEIGHTS",
"state": "NY",
"postal_code": "113727962",
"telephone_number": "718-779-2263"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3708 91ST ST STE 3A",
"city": "JACKSON HEIGHTS",
"state": "NY",
"postal_code": "113727962",
"telephone_number": "718-779-2263"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AMBIA",
"first_name": "KATHERINE",
"middle_name": "LAING",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-12-19",
"last_updated": "2018-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "094706",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jackson Heights, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.