Active NPI
Lynne Margaret Misztal, LCSW
- Clinical Social Worker
- Phoenix, AZ
National Provider Identifier
1144355678
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW10213
- Practice address
- 1225 W Clarendon Ave
Phoenix, AZ 85013-3359 - Phone
- (602) 707-8224
- Fax
- (602) 707-2040
- NPI assigned
- Feb 23, 2007
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCSW10213 | AZ | Primary |
Addresses
Primary practice location
1225 W Clarendon Ave
Phoenix, AZ 85013-3359
Mailing address
1225 W Clarendon Ave
Phoenix, AZ 85013-3359
Phone (602) 707-8224
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 633629 | Medicaid | AZ |
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 |
|---|---|---|---|
| LCSW10213 | AZ | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1144355678",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1225 W CLARENDON AVE",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850133359",
"telephone_number": "602-707-8224",
"fax_number": "602-707-2040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1225 W CLARENDON AVE",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850133359",
"telephone_number": "602-707-8224",
"fax_number": "602-707-2040"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MISZTAL",
"first_name": "LYNNE",
"middle_name": "MARGARET",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-23",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "AZ",
"license": "LCSW10213",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "633629",
"state": "AZ"
}
],
"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 Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.