Individual provider Active NPI

Stephanie Kennedy, LMSW

  • Clinical Social Worker
  • Phoenix, AZ
National Provider Identifier
1083446934
Registry record updated Oct 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
22998 Issued in AZ
Practice address
4420 S 32ND St
Phoenix, AZ 85040-2804
Phone
(602) 268-8748
Fax
(602) 253-1557
NPI assigned
Aug 19, 2024
Last updated
Oct 13, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2025

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 22998 AZ Primary

Addresses

Primary practice location

4420 S 32ND St
Phoenix, AZ 85040-2804

Mailing address

4420 S 32ND St
Phoenix, AZ 85040-2804
Phone (602) 268-8748

Other names 1

  • Stephanie Granado Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20260212003770 AZ Practitioner - Clinical Social Worker 0042790784 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3450 N 3Rd St
Phoenix, AZ 85012-2331

9014 W Agora LN
Tolleson, AZ 85353-5434

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
22998AZMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Behavioral Health Services, Inc. CurrentSince Dec 30, 2025 Accepting new patients
Southwest Behavioral Health Services, Inc. CurrentSince Dec 30, 2025 Accepting new patients

Locations

404 W Aero Dr
Payson, AZ 85541
Phone (928) 238-3024

2042 N 35th Ave
Phoenix, AZ 85009
Phone (602) 233-0115

3450 N 3rd St
Phoenix, AZ 85012
Phone (602) 257-9339

4420 S 32nd St
Phoenix, AZ 85040
Phone (602) 257-9339

7600 E Florentine Rd
Ste 101
Prescott Valley, AZ 86314
Phone (928) 775-7088

7600 E Florentine Rd
Ste 201
Prescott Valley, AZ 86314
Phone (928) 775-7088

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1724025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760313600000",
    "number": "1083446934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4420 S 32ND ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850402804",
            "telephone_number": "602-268-8748",
            "fax_number": "602-253-1557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4420 S 32ND ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850402804",
            "telephone_number": "602-268-8748",
            "fax_number": "602-253-1557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "STEPHANIE",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-19",
        "last_updated": "2025-10-13",
        "certification_date": "2025-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "22998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "GRANADO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.