Active NPI
Sabrina C Medina, LMSW
- Social Worker
- Waddell, AZ
National Provider Identifier
1073397469
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 20829
- Practice address
- 15510 W Deanne Dr
Waddell, AZ 85355-1263 - Phone
- (623) 309-0026
- NPI assigned
- Aug 24, 2023
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 20829 | AZ | Primary |
Addresses
Primary practice location
15510 W Deanne Dr
Waddell, AZ 85355-1263
Mailing address
15510 W Deanne Dr
Waddell, AZ 85355-1263
Phone (623) 309-0026
Other names 1
- Sabrina C Pietsch
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20829 | AZ | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1692835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785888000000",
"number": "1073397469",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15510 W DEANNE DR",
"city": "WADDELL",
"state": "AZ",
"postal_code": "853551263",
"telephone_number": "623-309-0026"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15510 W DEANNE DR",
"city": "WADDELL",
"state": "AZ",
"postal_code": "853551263",
"telephone_number": "623-309-0026"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEDINA",
"first_name": "SABRINA",
"middle_name": "C",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-08-24",
"last_updated": "2026-08-05",
"certification_date": "2026-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker",
"state": "AZ",
"license": "20829",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SABRINA",
"last_name": "PIETSCH",
"middle_name": "C",
"credential": "LMSW",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Waddell, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.