AMBRYA ANDE WHITE LCSW
NPI 1144972753
Social Worker - Clinical in Rexburg, ID

Active since January 25, 2022PECOS EnrolledAccepts Medicare Assignment
393 E 2ND N, REXBURG, ID 83440(208) 359-4840(208) 359-9010 Get Directions Write a Review

NPPES record last updated: October 14, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 12, 2025, Feb 5, 2025, Jan 25, 2022 (3 updates tracked since 2022).

About Ambrya Ande White Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMBRYA ANDE WHITE LCSW (NPI 1144972753) is an individual clinical provider in Rexburg, Idaho, licensed in Idaho (8861841) and active in the NPI registry since January 2022. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1144972753
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameAMBRYA ANDE WHITECredential: LCSW
Location Address393 E 2ND NRexburg, ID 83440-1605
Mailing Address393 E 2nd NRexburg, ID 83440-1605 · (208) 359-4840 · Fax (208) 359-9010
Fax(208) 359-9010
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJanuary 25, 2022
Last NPPES UpdateOctober 14, 20253 updates tracked since enumeration
NPPES CertifiedOctober 14, 2025
NPI 1144972753 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses Licensed in ID · 8861841 Licensed in AZ · 23064
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
393 E 2ND N, Rexburg, ID 83440

Secondary Practice Locations 2

Location 12119 E Chesapeake DrGilbert, AZ 85234-3839 · Phone (208) 359-4840 · Fax (208) 359-9010
Location 23453 Clearview LnAmmon, ID 83406-4702 · Phone (208) 359-4840 · Fax (208) 359-9010

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Ambrya Ande White Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3072033745
PECOS Enrollment IDI20250808002459
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83440 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $52.44 – $160.17
Typical copayment $0.00 (range $13.11 – $40.04)
Most-billed visit code NA
Established Patient
$65.77 typical visit price
range $16.68 – $130.93
Typical copayment $16.44 (range $4.17 – $32.73)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Occupational Therapist
393 E 2ND N
REXBURG, ID 83440
Nurse Practitioner
393 E 2ND N
REXBURG, ID 83440
Family Medicine
393 E 2ND N
REXBURG, ID 83440
Marriage & Family Therapist
393 E 2ND N
REXBURG, ID 83440
Speech-Language Pathologist
393 E 2ND N
REXBURG, ID 83440
Speech-Language Pathologist
393 E 2ND N
REXBURG, ID 83440
Family Medicine
393 E 2ND N
REXBURG, ID 83440
Dietitian, Registered
393 E 2ND N
REXBURG, ID 83440

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ambrya White's NPI number?

The NPI number for Ambrya White is 1144972753. It was assigned to this individual provider in the NPPES registry on January 25, 2022.

Where is Ambrya White located?

Ambrya White practices at 393 E 2nd N, Rexburg, ID 83440. The listed phone number is (208) 359-4840.

What is Ambrya White's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Ambrya White enrolled in Medicare?

Yes. Ambrya White is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Ambrya White accept?

Health plans from Blue Cross Blue Shield of Arizona, Moda Health Plan, Inc., Oscar Health Plan, Inc., Select Health and UnitedHealthcare and 1 other insurer list Ambrya White as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ambrya White was last updated on October 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.