Jessica Byrd, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

18618 Issued in AZ

Practice address

7650 S McClintock Dr Ste 103-264
Tempe, AZ 85284-1672

Phone

(928) 719-0009

NPI assigned

Sep 20, 2017

Last updated

Jun 7, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Embodied Empowerment, PLLC

  • Adult Mental Health Clinic/Center
  • Tempe, AZ
  • NPI 1881405660

  Clinical

  NPD Authorized official

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

{
    "created_epoch": "1505865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654560000000",
    "number": "1073022190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7650 S MCCLINTOCK DR STE 103-264",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852841672",
            "telephone_number": "928-719-0009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7650 S MCCLINTOCK DR STE 103-264",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852841672",
            "telephone_number": "928-719-0009"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8400 S Kyrene Rd Ste 223",
            "address_purpose": "LOCATION",
            "city": "Tempe",
            "state": "AZ",
            "postal_code": "852842101",
            "country_code": "US",
            "telephone_number": "928-719-0009",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2500 S Power Rd Ste 120",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852096688",
            "country_code": "US",
            "telephone_number": "480-241-7805",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BYRD",
        "first_name": "JESSICA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-20",
        "last_updated": "2022-06-07",
        "certification_date": "2022-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "AZ",
            "license": "16680",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "18618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Virginia Leigh Butler, FNP
• Mark Butterfield II, RN
• Buwalda Psychological Services
• Katrina Buwalda, PHD
• Carl G Bynum, D.O.
• Kalinda Grace Byrd, PHARM.D
• C-Mac Dental LLC
• Channing Cabanillas
• Claribel Cabrera-Inzunza
• Karla Guadalupe Cabrera, F.N.P.

• Clinical Social Worker in Tempe, AZ
• Providers in Tempe, 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 Jun 7, 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.

Verify at the official NPI Registry.