Individual provider Active NPI

Anne Denise Gill, LCSW

  • Clinical Social Worker
  • Phoenix, AZ
National Provider Identifier
1114436300
Registry record updated Sep 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW-12293 Issued in AZ
Practice address
1637 W Sleepy Ranch Rd
Phoenix, AZ 85085-8066
Phone
(623) 888-1966
NPI assigned
Sep 20, 2017
Last updated
Sep 20, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 20, 2017

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 LCSW-12293 AZ Primary

Addresses

Primary practice location

1637 W Sleepy Ranch Rd
Phoenix, AZ 85085-8066

Mailing address

1637 W Sleepy Ranch Rd
Phoenix, AZ 85085-8066
Phone (623) 444-8227

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, WA, AZ3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20260404000038 CA Practitioner - Clinical Social Worker 7618417858 Reassigns benefits to 1 organization
I20260404000042 WA Practitioner - Clinical Social Worker 7618417858 Reassigns benefits to 1 organization
I20260427002253 AZ Practitioner - Clinical Social Worker 7618417858 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1999
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1637 W Sleepy Ranch Rd
Phoenix, AZ 85085-8066

2578 Broadway
New York, NY 10025-7869

2578 Broadway
Suite 607
New York, NY 10025-5642

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

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": "1505865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1505865600000",
    "number": "1114436300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1637 W SLEEPY RANCH RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850858066",
            "telephone_number": "623-444-8227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1637 W SLEEPY RANCH RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850858066",
            "telephone_number": "623-888-1966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILL",
        "first_name": "ANNE",
        "middle_name": "DENISE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-20",
        "last_updated": "2017-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "LCSW-12293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.