Venesha L Rainwater, LMSW
Individual provider Active NPI Social Worker · Laveen, AZ
NPI 1194422121 · NPPES record last updated Feb 9, 2023
Key facts
- NPI
- 1194422121
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- LMSW-19221 (AZ)
- Practice address
- 7205 S 51St Ave Ste 203
Laveen, AZ 85339-7239 - Phone
- (602) 358-7073
- Fax
- (888) 927-0409
- NPI assigned
- Feb 9, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LMSW-19221 | AZ | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aneecias Destiny LLC | Current | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | LMSW-19221 | AZ | Yes |
Addresses
Primary practice location
7205 S 51St Ave Ste 203
Laveen, AZ 85339-7239
Mailing address
6635 W Happy Valley Rd Ste A104-621
Glendale, AZ 85310-2609
Phone (602) 358-7073
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LMSW-19221 | Other | AZ | AZ BOARD OF BEHAVIORAL HEALTH |
Other providers in Laveen, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 9, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.