Individual provider Active NPI

Daed Lizbeth Ayala Penaloza I, MSW, LCSW

  • Clinical Social Worker
  • Phoenix, AZ
National Provider Identifier
1093281883
Registry record updated May 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW-17129 Issued in AZ
Practice address
1934 E Camelback Rd Ste 197
Phoenix, AZ 85016-4126
Phone
(928) 261-5587
NPI assigned
Oct 18, 2018
Last updated
May 13, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 13, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 114773 TX
Clinical Social Worker 1041C0700X LCSW-17129 AZ Primary

Addresses

Primary practice location

1934 E Camelback Rd Ste 197
Phoenix, AZ 85016-4126

Mailing address

4238 N 17TH St Apt 3
Phoenix, AZ 85016-5324
Phone (928) 261-5587

Other names 1

  • Daed Lizbeth Ayala Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW-17129AZMDClinical Social Worker
114773TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Amari Counseling PLLC Clinical CurrentSince Oct 15, 2023 Accepting new patients
Horizon Health and Wellness, Inc. Multi-Specialty Past Accepting new patients
Horizon Health and Wellness, Inc. Past Accepting new patients

Locations

1934 E Camelback Rd
Ste 197
Phoenix, AZ 85016
Phone (928) 261-5587

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": "1539820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747094400000",
    "number": "1093281883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4238 N 17TH ST APT 3",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850165324",
            "telephone_number": "928-261-5587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1934 E CAMELBACK RD STE 197",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850164126",
            "telephone_number": "928-261-5587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AYALA PENALOZA",
        "first_name": "DAED",
        "middle_name": "LIZBETH",
        "name_suffix": "I",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-18",
        "last_updated": "2025-05-13",
        "certification_date": "2025-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "114773",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "LCSW-17129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DAED",
            "last_name": "AYALA",
            "middle_name": "LIZBETH",
            "credential": "MSW, LCSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.