Individual provider Active NPI

Melissa Jandt, LCSW

  • Clinical Social Worker
  • Phoenix, AZ
National Provider Identifier
1164796876
Registry record updated Nov 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
8222 S 48TH St Ste 200
Phoenix, AZ 85044-5303
Phone
(623) 300-5477
NPI assigned
Feb 27, 2012
Last updated
Nov 7, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2025

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 NU Primary

Addresses

Primary practice location

8222 S 48TH St Ste 200
Phoenix, AZ 85044-5303

Mailing address

8222 S 48TH St Ste 200
Phoenix, AZ 85044-5303
Phone (520) 640-7189

Other practice location 1

839 W Congress St
Tucson, AZ 85745-2819
Phone (520) 670-3909

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
I20180529002787 AZ Practitioner - Clinical Social Worker 7113282856 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Adelante Healthcare, Inc. Current Accepting new patients
Adelante Healthcare, Inc CurrentSince Aug 2, 2021 Accepting new patients
El Rio Santa Cruz Neighborhood Health Center, Inc CurrentSince Oct 10, 2022 Accepting new patients
El Rio Santa Cruz Neighborhood Health Center, Inc CurrentSince Oct 10, 2022 Accepting new patients
Adelante Healthcare, Inc. CurrentSince Aug 2, 2021 Accepting new patients
Adelante Healthcare, Inc. Past Accepting new patients

Locations

306 E Monroe Ave
Buckeye, AZ 85326
Phone (623) 386-1630

13471 W Cornerstone Blvd
Goodyear, AZ 85395

1705 W Main St
Mesa, AZ 85201
Phone (480) 845-6769

15525 N 83rd Ave
Ste 104
Peoria, AZ 85382

3130 E Roosevelt St
Bldg C
Phoenix, AZ 85008
Phone (480) 904-7787

500 W Thomas Rd
Ste 870
Phoenix, AZ 85013
Phone (602) 263-0222

9610 N Metro Pkwy W
Phoenix, AZ 85051
Phone (602) 843-1560

15317 W Bell Rd
Ste 100
Surprise, AZ 85374

15317 W Bell Rd
Ste 106
Surprise, AZ 85374
Phone (623) 544-5190

15351 W Bell Rd
Surprise, AZ 85374

1230 S Cherrybell Stra
Tucson, AZ 85713
Phone (520) 310-7316

839 W Congress St
Tucson, AZ 85745
Phone (520) 670-3707

811 N Tegner St
Ste 113
Wickenburg, AZ 85390

Interoperability endpoints

  • Direct secure messaging: melissa.jandt.p1@direct.azch.nextgenshare.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1330300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762473600000",
    "number": "1164796876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8222 S 48TH ST STE 200",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850445303",
            "telephone_number": "520-640-7189",
            "fax_number": "800-725-1576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8222 S 48TH ST STE 200",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850445303",
            "telephone_number": "623-300-5477"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "839 W Congress St",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857452819",
            "country_code": "US",
            "telephone_number": "520-670-3909",
            "fax_number": "520-309-2560",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JANDT",
        "first_name": "MELISSA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-27",
        "last_updated": "2025-11-07",
        "certification_date": "2025-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.