Individual provider Active NPI

Amber Dalzell, LCPC, ATR-BC, ATCS

  • Clinical Social Worker
  • Overland Park, KS
National Provider Identifier
1871876250
Registry record updated Oct 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2446 Issued in KS
Practice address
8826 Santa Fe Dr Ste 311
Overland Park, KS 66212-3649
Phone
(913) 732-0622
NPI assigned
Sep 22, 2011
Reactivated
Apr 17, 2024
Last updated
Oct 17, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 17, 2024

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 2446 KS Primary

Addresses

Primary practice location

8826 Santa Fe Dr Ste 311
Overland Park, KS 66212-3649

Mailing address

8826 Santa Fe Dr Ste 311
Overland Park, KS 66212-3649
Phone (913) 732-0622

Other identifiers 1

IdentifierTypeStateIssuer
200749870CMedicaidKS

Other names 1

  • Amber Dalzell 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
2446KSMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Art of the Matter Professional CurrentSince Jan 15, 2023 Accepting new patients

Locations

10551 Barkley St
Ste 502
Overland Park, KS 66212
Phone (913) 732-0622

10965 Granada Ln
Ste 102
Overland Park, KS 66211
Phone (913) 663-3000

8826 Santa Fe Dr
Ste 311
Overland Park, KS 66212
Phone (913) 732-0622

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1316649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729123200000",
    "number": "1871876250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8826 SANTA FE DR STE 311",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662123649",
            "telephone_number": "913-732-0622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8826 SANTA FE DR STE 311",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662123649",
            "telephone_number": "913-732-0622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALZELL",
        "first_name": "AMBER",
        "credential": "LCPC, ATR-BC, ATCS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-22",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "deactivation_date": "2024-04-04",
        "reactivation_date": "2024-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "2446",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200749870C",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMBER",
            "last_name": "DALZELL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Overland Park, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.

Verify at the official NPI Registry.