Individual provider Active NPI

Karlee Brandt Cannell

  • Clinical Social Worker
  • Mesa, AZ
National Provider Identifier
1235005265
Registry record updated Oct 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW-23276 Issued in AZ
Practice address
1910 S Stapley Dr Ste 209
Mesa, AZ 85204-6679
Phone
(888) 374-5066
Fax
(719) 623-0165
NPI assigned
Oct 16, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 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 LCSW-23276 AZ Primary

Addresses

Primary practice location

1910 S Stapley Dr Ste 209
Mesa, AZ 85204-6679

Mailing address

1910 S Stapley Dr Ste 209
Mesa, AZ 85204-6679
Phone (888) 374-5066

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
I20251112001448 AZ Practitioner - Clinical Social Worker 8325539984 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Care Center LLCGroup PAC ID 5991064420, 703 clinicians

Practice addresses (Care Compare)

1910 S Stapley Dr
Suite 209
Mesa, AZ 85204-6679
Phone (888) 362-5953

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW-23276AZMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Family Care Center, LLC CurrentSince Sep 1, 2025 Accepting new patients

Locations

1910 S Stapley Dr
Ste 209
Mesa, AZ 85204
Phone (480) 351-8020

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": "1760572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760572800000",
    "number": "1235005265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1910 S STAPLEY DR STE 209",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852046679",
            "telephone_number": "888-374-5066",
            "fax_number": "719-623-0165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1910 S STAPLEY DR STE 209",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852046679",
            "telephone_number": "888-374-5066",
            "fax_number": "719-623-0165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANNELL",
        "first_name": "KARLEE",
        "middle_name": "BRANDT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-16",
        "last_updated": "2025-10-16",
        "certification_date": "2025-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "LCSW-23276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.