Individual provider Active NPI

Grace Anne Kalt, LCSW

  • Clinical Social Worker
  • Phoenix, AZ
National Provider Identifier
1114746658
Registry record updated Mar 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW-23169 Issued in AZ
Practice address
3420 E Shea Blvd Ste 188
Phoenix, AZ 85028-3354
Phone
(602) 633-5474
NPI assigned
Oct 9, 2024
Last updated
Mar 6, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 6, 2026

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-23169 AZ Primary

Addresses

Primary practice location

3420 E Shea Blvd Ste 188
Phoenix, AZ 85028-3354

Mailing address

3420 E Shea Blvd
Phoenix, AZ 85028-3345

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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 1

Enrollment IDStateProvider typePAC IDDetails
I20260304004415 AZ Practitioner - Clinical Social Worker 1658853072 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Phoenix Psychology and Counseling LLCGroup PAC ID 1052614989, 4 clinicians

Practice addresses (Care Compare)

3420 E Shea Blvd
Suite 188
Phoenix, AZ 85028-3354
Phone (602) 633-5474

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW-23169AZMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Phoenix Psychology and Counseling LLC CurrentSince Jan 1, 2026 Accepting new patients
Grace Kalt Counseling PLLC Current Accepting new patients

Locations

3420 E Shea Blvd
Ste 188
Phoenix, AZ 85028
Phone (424) 465-3058

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": "1728432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772755200000",
    "number": "1114746658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3420 E SHEA BLVD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850283345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3420 E SHEA BLVD STE 188",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850283354",
            "telephone_number": "602-633-5474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALT",
        "first_name": "GRACE",
        "middle_name": "ANNE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-09",
        "last_updated": "2026-03-06",
        "certification_date": "2026-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "LCSW-23169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.