Individual provider Active NPI

Kirsten Powell, LCSW

  • Clinical Social Worker
  • Scottsdale, AZ
National Provider Identifier
1003350844
Registry record updated Dec 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW-16086 Issued in AZ
Practice address
6424 E Greenway Pkwy # 145
Scottsdale, AZ 85254-2045
Phone
(602) 833-2019
NPI assigned
Dec 13, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 7, 2018

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 LCSW-16086 AZ Primary

Addresses

Primary practice location

6424 E Greenway Pkwy # 145
Scottsdale, AZ 85254-2045

Mailing address

6424 E Greenway Pkwy # 145
Scottsdale, AZ 85254-2045
Phone (602) 833-2019

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170228002442 AZ Practitioner - Clinical Social Worker 0648554121 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

6424 E Greenway Pkwy
Suite 142
Scottsdale, AZ 85254-2045
Phone (480) 999-2443

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW-16086AZMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Denova Collaborative Health, LLC CurrentSince Apr 1, 2017 Accepting new patients
Well Rooted Life LLC Clinical CurrentSince Nov 1, 2018 Accepting new patients
Denova Collaborative Health, LLC Current Accepting new patients
Denova Collaborative Health, LLC CurrentSince Apr 1, 2017 Accepting new patients

Locations

235 W Western Ave
Avondale, AZ 85323
Phone (623) 772-5091

9014 S Central Ave
Phoenix, AZ 85042
Phone (602) 384-8820

3101 N Central Ave
Ste 500
Phoenix, AZ 85012

3620 N 3rd St
Phoenix, AZ 85012
Phone (602) 329-8250

3033 N Central Ave
Ste 700
Phoenix, AZ 85012
Phone (602) 281-7289

926 E McDowell Rd
Ste 105
Phoenix, AZ 85006
Phone 6022307373229

6424 E Greenway Pkwy
Scottsdale, AZ 85254
Phone (480) 296-2996

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1481587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544140800000",
    "number": "1003350844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6424 E GREENWAY PKWY # 145",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852542045",
            "telephone_number": "602-833-2019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6424 E GREENWAY PKWY # 145",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852542045",
            "telephone_number": "602-833-2019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWELL",
        "first_name": "KIRSTEN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-12-13",
        "last_updated": "2018-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "LCSW-16086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.