Active NPI
Marlena Beatrice Stanford, LMSW
- Social Worker
- Phoenix, AZ
National Provider Identifier
1124809629
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 22564
- Practice address
- 16601 N 40TH St Ste 216
Phoenix, AZ 85032-3354 - Phone
- (480) 788-8466
- NPI assigned
- Oct 10, 2023
- Sex
- Female
- Sole proprietor
- No
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 | 22564 | AZ | Primary |
Addresses
Primary practice location
16601 N 40TH St Ste 216
Phoenix, AZ 85032-3354
Mailing address
16601 N 40TH St Ste 216
Phoenix, AZ 85032-3354
Phone (970) 901-8575
Other practice location 1
3707 E Southern Ave
Mesa, AZ 85206-2569
Phone (480) 485-7222
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 |
|---|---|---|---|
| 22564 | AZ | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1696896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737417600000",
"number": "1124809629",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16601 N 40TH ST STE 216",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850323354",
"telephone_number": "970-901-8575"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16601 N 40TH ST STE 216",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850323354",
"telephone_number": "480-788-8466"
}
],
"practiceLocations": [
{
"address_1": "3707 E Southern Ave",
"address_purpose": "LOCATION",
"city": "Mesa",
"state": "AZ",
"postal_code": "852062569",
"country_code": "US",
"telephone_number": "480-485-7222",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STANFORD",
"first_name": "MARLENA",
"middle_name": "BEATRICE",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-10-10",
"last_updated": "2025-01-21",
"certification_date": "2025-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "AZ",
"license": "22564",
"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 Jan 21, 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.