1. Home
  2. Directory
  3. Arizona
  4. Phoenix
  5. Social Worker
  6. NPI Profile

ETHELYN LARA LMSW
NPI 1699264887
Social Worker - Clinical in Phoenix, AZ

Active since May 03, 2018PECOS Enrolled
1919 E THOMAS RD, PHOENIX, AZ 85016(602) 933-0990(602) 933-4251 Get Directions Write a Review

NPPES record last updated: November 15, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 15, 2021, May 3, 2018 (2 updates tracked since 2018).

About Ethelyn Lara Lmsw NPPES

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

ETHELYN LARA LMSW (NPI 1699264887) is an individual clinical provider in Phoenix, Arizona, licensed in Arizona (LCSW-19732) and active in the NPI registry since May 2018. She is enrolled in Medicare PECOS and maintains a secondary practice location in Phoenix.

NPPES Registry Identity

NPI1699264887
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameETHELYN LARACredential: LMSW
Location Address1919 E THOMAS RDPhoenix, AZ 85016-7710
Mailing Address3200 E Camelback Rd Ste 250Phoenix, AZ 85018-2327 · (602) 933-1814
Phone(602) 933-0990
Fax(602) 933-4251
Sole ProprietorNo
Enumeration DateMay 3, 2018
Last NPPES UpdateNovember 15, 20212 updates tracked since enumeration
NPPES CertifiedNovember 15, 2021
✔ NPI 1699264887 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 AZ · LCSW-19732✔ Licensed in AZ · 16318
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.

1919 E THOMAS RD, Phoenix, AZ 85016
Open in Google Maps ↗

Secondary Practice Location 1

Location 12120 N Central Ave Ste 130Phoenix, AZ 85004-1454 · Phone (602) 271-4500

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ethelyn Lara Lmsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 85016 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 $55.44 – $168.60
Typical copayment $0.00 (range $13.86 – $42.15)
Most-billed visit code NA
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
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.

DR. TIMUR RAGHIB M.D.
Hospitalist
1919 E THOMAS RD
PHOENIX, AZ 85016
Maricopa County (602) 933-0777
MRS. MARIA T ESCOBAR CSP, RD
Dietitian, Registered
1919 E THOMAS RD
PHOENIX, AZ 85016
Maricopa County (480) 440-2787
DR. AHMAR HUSAIN MD
Anesthesiology (Pediatric Anesthesiology)
1919 E THOMAS RD
PHOENIX, AZ 85016
Maricopa County (602) 933-4660
MRS. SOLEE R COWLEY LCSW
Social Worker (Clinical)
1919 E THOMAS RD
PHOENIX, AZ 85016
Maricopa County (602) 933-0414
PRIYA PRASHER M.D.
Pediatrics
1919 E THOMAS RD
PHOENIX, AZ 85016
Maricopa County (602) 933-1900
DR. AMIT RAJARAM D.O.
Pediatrics
1919 E THOMAS RD
PHOENIX, AZ 85016
Maricopa County (602) 933-0198
LAURA GARDNER HAMANT
Pediatrics (Pediatric Gastroenterology)
1919 E THOMAS RD
PHOENIX, AZ 85016
Maricopa County (602) 933-1000
MS. KYLE MARIE CHRISTIAN-DOLD CPNP
Nurse Practitioner (Pediatrics)
1919 E THOMAS RD
PHOENIX, AZ 85016
Maricopa County (602) 933-1900

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 Ethelyn Lara's NPI number?

The NPI number for Ethelyn Lara is 1699264887. It was assigned to this individual provider in the NPPES registry on May 3, 2018.

Where is Ethelyn Lara located?

Ethelyn Lara practices at 1919 E Thomas Rd, Phoenix, AZ 85016. The listed phone number is (602) 933-0990.

What is Ethelyn Lara's specialty?

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

Is Ethelyn Lara enrolled in Medicare?

Yes. Ethelyn Lara is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ethelyn Lara was last updated on November 15, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.