Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mrs. Lyudmila Vitalia Ambrose, TAXONOMYMSW

Individual provider Mental Health Counselor · NPI 1245999028

Mrs. Lyudmila Vitalia Ambrose, TAXONOMYMSW is a Clinical Social Worker in Orlando, Florida. Qualified in 2021, 5 years ago. Practices with Patrick Henry Family Services Operations, a 7-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
5
Licensed in
FL
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

10850 Emerald Chase Dr
Orlando, FL 32836-5882
Phone: (321) 446-1623
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence SW23897 (FL)
Mental Health Counselor Taxonomy 101YM0800X (FL)

Record details

NPI number1245999028
Entity typeIndividual (Type 1)
GenderFemale
Credentials TAXONOMYMSW
Sole proprietorYes
NPI enumeratedDecember 9, 2021
Last updated in NPPESDecember 21, 2024
Certification dateDecember 21, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Patrick Henry Family Services Operations — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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