Individual provider Active NPI

Heather Lynn Castonguay, LCSW

  • Clinical Social Worker
  • Glendale, AZ
National Provider Identifier
1033687314
Registry record updated Nov 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW-17494 Issued in AZ
Practice address
6677 W Thunderbird Rd Ste A124
Glendale, AZ 85306-3710
Phone
(480) 882-4545
NPI assigned
Nov 5, 2018
Last updated
Nov 5, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 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-17494 AZ Primary

Addresses

Primary practice location

6677 W Thunderbird Rd Ste A124
Glendale, AZ 85306-3710

Mailing address

14910 W Dreyfus St
Surprise, AZ 85379-4284
Phone (623) 606-9296

Other names 1

  • Heather Lynn Parker Former name

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
I20191213001912 AZ Practitioner - Clinical Social Worker 2567895014 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

9015 N 3Rd St
Phoenix, AZ 85020-2444
Phone (480) 882-4545

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW-17494AZMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Neighborhood Outreach Access to Health CurrentSince Jan 28, 2019 Accepting new patients
Neighborhood Outreach Access to Health CurrentSince Jan 28, 2019 Accepting new patients
Neighborhood Outreach Access to Health Past Accepting new patients

Locations

11851 N 51st Ave
Ste B110
Glendale, AZ 85304

11851 N 51st Ave
Ste F140
Glendale, AZ 85304
Phone (623) 428-0001

6677 W Thunderbird Rd
Ste A124
Glendale, AZ 85306
Phone (623) 223-9677

16251 N Cave Creek Rd
Phoenix, AZ 85032

20440 N 27th Ave
Phoenix, AZ 85027

4131 N 24th St
Ste B102
Phoenix, AZ 85016
Phone (602) 955-6632

9015 N 3rd St
Phoenix, AZ 85020

8705 E McDowell Rd
Scottsdale, AZ 85257

Organizations & group practices 3

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": "1541376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541376000000",
    "number": "1033687314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14910 W DREYFUS ST",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853794284",
            "telephone_number": "623-606-9296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6677 W THUNDERBIRD RD STE A124",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853063710",
            "telephone_number": "480-882-4545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTONGUAY",
        "first_name": "HEATHER",
        "middle_name": "LYNN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-05",
        "last_updated": "2018-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "LCSW-17494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEATHER",
            "last_name": "PARKER",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Glendale, AZ

Sources for this page

Verify at the official NPI Registry.