Individual provider Active NPI

Laura Fellows, L.C.S.W.

  • Clinical Social Worker
  • Sedona, AZ
National Provider Identifier
1164597654
Registry record updated Mar 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW-2713 Issued in AZ
Practice address
866 Dusty Rose Dr
Sedona, AZ 86336-7428
Phone
(928) 300-6322
NPI assigned
Nov 21, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 27, 2019

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-2713 AZ Primary

Addresses

Primary practice location

866 Dusty Rose Dr
Sedona, AZ 86336-7428

Mailing address

4721 E Lee St
Tucson, AZ 85712-4020
Phone (928) 300-6322

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
I20051129000269 AZ Practitioner - Clinical Social Worker 7416977061 Reassigns benefits to 2 organizations
Practice locations: Sedona, AZ

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sondermind Provider Network LLCGroup PAC ID 9537572490, 1,295 clinicians

Practice addresses (Care Compare)

20 E Thomas Rd
Suite 2200
Phoenix, AZ 85012-3133
Phone (866) 630-0966

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW-2713AZMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Sondermind Provider Network LLC Clinical CurrentSince Aug 19, 2025 Accepting new patients
Spectrum Healthcare Group, Inc. Clinical Current Accepting new patients
Spectrum Healthcare Group, Inc CurrentSince May 1, 2020 Accepting new patients
Spectrum Healthcare Group, Inc Clinical CurrentSince May 1, 2020 Accepting new patients
Spectrum Healthcare Group, Inc. Clinical Current Accepting new patients

Locations

8 E Cottonwood St
Bldg B
Cottonwood, AZ 86326

8 E Cottonwood St
Bldg A
Cottonwood, AZ 86326
Phone (928) 203-5404

8 E Cottonwood St
Cottonwood, AZ 86326
Phone (928) 203-5404

20 E Thomas Rd
Ste 2200
Phoenix, AZ 85012
Phone (310) 515-8113

1200 N Country Club Rd
Tucson, AZ 85716
Phone (520) 770-1197

Organizations & group practices 5

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": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553644800000",
    "number": "1164597654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4721 E LEE ST",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857124020",
            "telephone_number": "928-300-6322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "866 DUSTY ROSE DR",
            "city": "SEDONA",
            "state": "AZ",
            "postal_code": "863367428",
            "telephone_number": "928-300-6322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELLOWS",
        "first_name": "LAURA",
        "name_prefix": "Ms.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-21",
        "last_updated": "2019-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "LCSW-2713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sedona, AZ

Sources for this page

Verify at the official NPI Registry.