Individual provider Active NPI

Lauryn Maye Fjell, LMSW-T

  • Social Worker
  • Glendale, AZ
National Provider Identifier
1184460180
Registry record updated Jul 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
LMSW-08184T Issued in AZ
Practice address
18205 N 51St Ave Ste 131
Glendale, AZ 85308-1492
Phone
(602) 499-5329
NPI assigned
Jul 8, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X LMSW-08184T AZ Primary

Addresses

Primary practice location

18205 N 51St Ave Ste 131
Glendale, AZ 85308-1492

Mailing address

4964 W Villa Rita Dr
Glendale, AZ 85308-1428
Phone (602) 432-5465

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

LicenseStateTypeSpecialty
LMSW-08184TAZMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Dana Therapeutic Services CurrentSince Jul 21, 2024 Accepting new patients

Locations

18205 N 51st Ave
Ste 131
Glendale, AZ 85308
Phone (602) 320-3101

Organizations & group practices 1

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": "1720396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720396800000",
    "number": "1184460180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4964 W VILLA RITA DR",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853081428",
            "telephone_number": "602-432-5465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18205 N 51ST AVE STE 131",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853081492",
            "telephone_number": "602-499-5329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FJELL",
        "first_name": "LAURYN",
        "middle_name": "MAYE",
        "credential": "LMSW-T",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-08",
        "last_updated": "2024-07-08",
        "certification_date": "2024-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "AZ",
            "license": "LMSW-08184T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.