Individual provider Active NPI

Dennily C Stricker, LCSW

  • Clinical Social Worker
  • Tempe, AZ
National Provider Identifier
1083003727
Registry record updated Feb 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
13660 Issued in AZ
Practice address
2312 E Cairo Dr
Tempe, AZ 85282-4111
Phone
(585) 315-4836
NPI assigned
Jan 19, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 8, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 13660 AZ Primary

Addresses

Primary practice location

2312 E Cairo Dr
Tempe, AZ 85282-4111

Mailing address

2312 E Cairo Dr
Tempe, AZ 85282-4111
Phone (585) 315-4836

Other practice location 1

8130 E Cactus Rd
Scottsdale, AZ 85260-5263
Phone (480) 261-5015

Other identifiers 1

IdentifierTypeStateIssuer
13660OtherAZLICENSE

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
13660AZMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Paws Bereavement Past Accepting new patients

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": "1421625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549584000000",
    "number": "1083003727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2312 E CAIRO DR",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852824111",
            "telephone_number": "585-315-4836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2312 E CAIRO DR",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852824111",
            "telephone_number": "585-315-4836"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8130 E Cactus Rd",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852605263",
            "country_code": "US",
            "telephone_number": "480-261-5015",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STRICKER",
        "first_name": "DENNILY",
        "middle_name": "C",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-19",
        "last_updated": "2019-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "13660",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "13660",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2019; 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.