Individual provider Active NPI

Julianne Lopez Haddad, LCSW

  • Clinical Social Worker
  • Mesa, AZ
National Provider Identifier
1033779384
Registry record updated Nov 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
22608 Issued in AZ
Practice address
1745 S Alma School Rd
Mesa, AZ 85210-3009
Phone
(602) 224-2277
NPI assigned
Jun 19, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 16914 AZ
Clinical Social Worker 1041C0700X 22608 AZ Primary

Addresses

Primary practice location

1745 S Alma School Rd
Mesa, AZ 85210-3009

Mailing address

2600 E Southern Ave Ste C3
Tempe, AZ 85282-7609

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
I20241216001645 AZ Practitioner - Clinical Social Worker 9436685385 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mental Health Center of America, LLCGroup PAC ID 7012308257, 9 clinicians

Practice addresses (Care Compare)

7600 N 15TH St
Suite 100
Phoenix, AZ 85020-4330
Phone (602) 704-2345

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
22608AZMDProfessional Counselor
16914AZMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mental Health Center of America, LLC Clinical CurrentSince Nov 12, 2024 Accepting new patients

Locations

7600 N 15th St
Ste 100
Phoenix, AZ 85020
Phone (602) 224-2277

1 N 1st St
Fl 7
Phoenix, AZ 85004

Organizations & group practices 1

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": "1560902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730592000000",
    "number": "1033779384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 E SOUTHERN AVE STE C3",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852827609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1745 S ALMA SCHOOL RD",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852103009",
            "telephone_number": "602-224-2277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ HADDAD",
        "first_name": "JULIANNE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-19",
        "last_updated": "2024-11-03",
        "certification_date": "2024-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "AZ",
            "license": "16914",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "22608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.