Jessica Shetzen, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW-18022 Issued in AZ

Practice address

3101 N Central Ave Ste 183
Phoenix, AZ 85012-3616

Phone

(602) 730-0436

Fax

(602) 671-2651

NPI assigned

Sep 5, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1567641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754870400000",
    "number": "1124677802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10964 E MARY KATHERINE DR",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852593010",
            "telephone_number": "602-730-0436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 N CENTRAL AVE STE 183",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850123616",
            "telephone_number": "602-730-0436",
            "fax_number": "602-671-2651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHETZEN",
        "first_name": "JESSICA",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-05",
        "last_updated": "2025-08-11",
        "certification_date": "2025-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "LCSW-18022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Sherwood, LPC
• Grishma Sheth
• Jay Sheth
• Palak Kalpesh Sheth
• Savannah Leigh Shetterly, DMD
• Scarlet Shewmaker, COTA/L
• Shona Laree Shewmaker, PH.D.
• Aishan Shi
• Devra Kay Shiba, RDN
• Kimberly Ann Shibata

• Clinical Social Worker in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Clinical Social Worker in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2025; 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.