Active NPI
Alexis Clare Katafiasz, LMSW
- Social Worker
- Phoenix, AZ
National Provider Identifier
1093346207
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- LMSW-18149
- Practice address
- 2102 W Bethany Home Rd
Phoenix, AZ 85015-1935 - Phone
- (602) 774-4745
- Fax
- (623) 207-6515
- NPI assigned
- Jan 28, 2020
- Sex
- Female
- Sole proprietor
- No
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 | LMSW-18149 | AZ | Primary |
Addresses
Primary practice location
2102 W Bethany Home Rd
Phoenix, AZ 85015-1935
Mailing address
2228 N 52ND St Unit 109
Phoenix, AZ 85008-3444
Phone (480) 313-1888
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1580169600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580169600000",
"number": "1093346207",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2228 N 52ND ST UNIT 109",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850083444",
"telephone_number": "480-313-1888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2102 W BETHANY HOME RD",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850151935",
"telephone_number": "602-774-4745",
"fax_number": "623-207-6515"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KATAFIASZ",
"first_name": "ALEXIS",
"middle_name": "CLARE",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-01-28",
"last_updated": "2020-01-28",
"certification_date": "2020-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "AZ",
"license": "LMSW-18149",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.