Active NPI
Marie Elizabeth Avila
- Social Worker
- Mesa, AZ
National Provider Identifier
1104091826
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- LMSW-20800
- Practice address
- 4760 E Baseline Rd Apt 2085
Mesa, AZ 85206-4690 - Phone
- (480) 232-2766
- NPI assigned
- Apr 23, 2008
- 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 | LMSW-20800 | AZ | Primary |
Addresses
Primary practice location
4760 E Baseline Rd Apt 2085
Mesa, AZ 85206-4690
Mailing address
4760 E Baseline Rd Apt 2085
Mesa, AZ 85206-4690
Phone (602) 599-5575
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 |
|---|---|---|---|
| LMSW-20800 | AZ | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699315200000",
"number": "1104091826",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4760 E BASELINE RD APT 2085",
"city": "MESA",
"state": "AZ",
"postal_code": "852064690",
"telephone_number": "602-599-5575"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4760 E BASELINE RD APT 2085",
"city": "MESA",
"state": "AZ",
"postal_code": "852064690",
"telephone_number": "480-232-2766"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AVILA",
"first_name": "MARIE",
"middle_name": "ELIZABETH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-04-23",
"last_updated": "2023-11-07",
"certification_date": "2023-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "AZ",
"license": "LMSW-20800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.