Individual provider Active NPI

Varsha Prasad

  • Clinical Social Worker
  • Phoenix, AZ
National Provider Identifier
1104535004
Registry record updated Mar 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW-21225 Issued in AZ
Practice address
10201 S 51St St Ste 130
Phoenix, AZ 85044-5226
Phone
(602) 525-5783
NPI assigned
Nov 18, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X LMSW-18322 AZ
Clinical Social Worker 1041C0700X LCSW-21225 AZ Primary

Addresses

Primary practice location

10201 S 51St St Ste 130
Phoenix, AZ 85044-5226

Mailing address

14408 S 12TH St
Phoenix, AZ 85048-4420
Phone (602) 980-3212

Other practice location 1

8065 N 85th Way
Scottsdale, AZ 85258-4321
Phone (480) 451-8500

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

LicenseStateTypeSpecialty
LMSW-18322AZMDSocial Worker
LCSW-21225AZMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
The Empowerment Group LLC Past Accepting new patients
Healthy Futures Mse LLC Past Accepting new patients

Organizations & group practices 2

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": "1668729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677801600000",
    "number": "1104535004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14408 S 12TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850484420",
            "telephone_number": "602-980-3212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10201 S 51ST ST STE 130",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850445226",
            "telephone_number": "602-525-5783"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8065 N 85th Way",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852584321",
            "country_code": "US",
            "telephone_number": "480-451-8500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRASAD",
        "first_name": "VARSHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-18",
        "last_updated": "2023-03-03",
        "certification_date": "2023-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "AZ",
            "license": "LMSW-18322",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "LCSW-21225",
            "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 Mar 3, 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.

Verify at the official NPI Registry.