Active NPI
Jeannie M Retamal
- Clinical Social Worker
- Glendale, AZ
National Provider Identifier
1033868625
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 6825 W Bell Rd
Glendale, AZ 85308-8453 - Phone
- (916) 396-4882
- NPI assigned
- Mar 21, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
6825 W Bell Rd
Glendale, AZ 85308-8453
Mailing address
5522 W Andrea Dr
Phoenix, AZ 85083-6311
Phone (916) 396-4882
Other practice location 1
6833 W Bell Rd
Glendale, AZ 85308-8453
Phone (916) 396-4882
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1647820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647820800000",
"number": "1033868625",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5522 W ANDREA DR",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850836311",
"telephone_number": "916-396-4882"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6825 W BELL RD",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853088453",
"telephone_number": "916-396-4882"
}
],
"practiceLocations": [
{
"address_1": "6833 W Bell Rd",
"address_purpose": "LOCATION",
"city": "Glendale",
"state": "AZ",
"postal_code": "853088453",
"country_code": "US",
"telephone_number": "916-396-4882",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RETAMAL",
"first_name": "JEANNIE",
"middle_name": "M",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-03-21",
"last_updated": "2022-03-21",
"certification_date": "2022-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glendale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.