Individual provider Active NPI

Jessica Dawn Clausen, LCSW

  • Clinical Social Worker
  • Chandler, AZ
National Provider Identifier
1144588336
Registry record updated Feb 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW-13494 Issued in AZ
Practice address
1600 W Chandler Blvd Ste 220
Chandler, AZ 85224-6162
Phone
(480) 244-0126
NPI assigned
Apr 25, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2023

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-13494 AZ Primary

Addresses

Primary practice location

1600 W Chandler Blvd Ste 220
Chandler, AZ 85224-6162

Mailing address

1400 E Southern Ave Ste 735
Tempe, AZ 85282-5699
Phone (480) 804-0326

Other practice location 1

1400 E Southern Ave Ste 735
Tempe, AZ 85282-5699
Phone (480) 804-0326

Other identifiers 1

IdentifierTypeStateIssuer
710905MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Honorhealth Current Accepting new patients
Honorhealth CurrentSince Oct 3, 2017 Accepting new patients
Honorhealth CurrentSince Oct 3, 2017 Accepting new patients

Locations

7400 E Osborn Rd
Scottsdale, AZ 85251
Phone (480) 481-4000

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1335312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675296000000",
    "number": "1144588336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 E SOUTHERN AVE STE 735",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852825699",
            "telephone_number": "480-804-0326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 W CHANDLER BLVD STE 220",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852246162",
            "telephone_number": "480-244-0126"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1400 E Southern Ave Ste 735",
            "address_purpose": "LOCATION",
            "city": "Tempe",
            "state": "AZ",
            "postal_code": "852825699",
            "country_code": "US",
            "telephone_number": "480-804-0326",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLAUSEN",
        "first_name": "JESSICA",
        "middle_name": "DAWN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-25",
        "last_updated": "2023-02-02",
        "certification_date": "2023-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "LCSW-13494",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "710905",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

Verify at the official NPI Registry.