Active NPI
Emma C Hertzel, LCSW
- Clinical Social Worker
- Tempe, AZ
National Provider Identifier
1184923914
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW-15491
- Practice address
- 6197 S Rural Rd
Suite 101
Tempe, AZ 85283-2909 - Phone
- (480) 273-7110
- Fax
- (480) 378-3781
- NPI assigned
- Mar 18, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 | LCSW-15491 | AZ | Primary |
Addresses
Primary practice location
6197 S Rural Rd
Suite 101
Tempe, AZ 85283-2909
Mailing address
6197 S Rural Rd
Suite 101
Tempe, AZ 85283-2909
Phone (480) 273-7110
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 792318 | 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 |
|---|---|---|---|
| LCSW-15491 | AZ | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1300406400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1435536000000",
"number": "1184923914",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6197 S RURAL RD",
"address_2": "SUITE 101",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852832909",
"telephone_number": "480-273-7110",
"fax_number": "480-378-3781"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6197 S RURAL RD",
"address_2": "SUITE 101",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852832909",
"telephone_number": "480-273-7110",
"fax_number": "480-378-3781"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERTZEL",
"first_name": "EMMA",
"middle_name": "C",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-03-18",
"last_updated": "2015-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "AZ",
"license": "LCSW-15491",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "792318",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tempe, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.