Bryan Dubrock, LCSW-21781

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW-21781 Issued in AZ

Practice address

2311 W Royal Palm Rd
Phoenix, AZ 85021-4924

Phone

(602) 269-5300

NPI assigned

Sep 21, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Clinical Social Worker

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southwest NetworkGroup PAC ID 2567560659, 26 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Southwest Network

  • Community/Behavioral Health Agency
  • Phoenix, AZ
  • NPI 1104856004
  Medicare reassignment Care Compare group NPD
• Southwest Network, Inc.

  • Community/Behavioral Health Agency
  • Chandler, AZ
  • NPI 1487981338
  NPD

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

{
    "created_epoch": "1695254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695254400000",
    "number": "1053190819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 N CENTRAL AVE STE 1050",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850041217",
            "telephone_number": "602-266-8402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2311 W ROYAL PALM RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850214924",
            "telephone_number": "602-269-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUBROCK",
        "first_name": "BRYAN",
        "credential": "LCSW-21781",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-09-21",
        "last_updated": "2023-09-21",
        "certification_date": "2023-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "LCSW-21781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sabira Dube
• Ellen R Dubiel
• Morton H Dubnow, M.D.
• Joshua Duboise, MS, LPC
• Cleshaun A Dubose, LAC
• Celeste Dubrow
• Frances Jacquelyne Ducar
• Rebecca Ducar, FNP-C
• Babylynn Ducay
• Mary Elizabeth Ducharme, MC, LAC

• Clinical Social Worker in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Clinical Social Worker in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.