Individual provider Active NPI

Amber Lingard, LCSW

  • Clinical Social Worker
  • West Valley, UT
National Provider Identifier
1912336660
Registry record updated Nov 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
7175244-3501 Issued in UT
Practice address
5698 W Glen Eagle Dr
West Valley, UT 84128-4013
Phone
(801) 969-4181
Fax
(801) 969-1291
NPI assigned
Nov 4, 2013
Last updated
Nov 4, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2013

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 7175244-3501 UT Primary

Addresses

Primary practice location

5698 W Glen Eagle Dr
West Valley, UT 84128-4013

Mailing address

5698 W Glen Eagle Dr
West Valley, UT 84128-4013
Phone (801) 969-4181

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Apr 1, 2017 through Apr 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
7175244-3501UTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
LDS Family Services Past Accepting new patients
LDS Family Services Past Accepting new patients

Organizations & group practices 2

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": "1383523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383523200000",
    "number": "1912336660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5698 W GLEN EAGLE DR",
            "city": "WEST VALLEY",
            "state": "UT",
            "postal_code": "841284013",
            "telephone_number": "801-969-4181",
            "fax_number": "801-969-1291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5698 W GLEN EAGLE DR",
            "city": "WEST VALLEY",
            "state": "UT",
            "postal_code": "841284013",
            "telephone_number": "801-969-4181",
            "fax_number": "801-969-1291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINGARD",
        "first_name": "AMBER",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-04",
        "last_updated": "2013-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "7175244-3501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Valley, UT

Sources for this page

Verify at the official NPI Registry.