Individual provider Active NPI

Ezra Megran, LCSW

  • Clinical Social Worker
  • Phoenix, AZ
National Provider Identifier
1235083668
Registry record updated Aug 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW-23625 Issued in AZ
Practice address
5650 S 35TH Ave
Phoenix, AZ 85041-3531
Phone
(833) 855-9973
Fax
(602) 655-9640
NPI assigned
Feb 23, 2026
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2026

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-23625 AZ Primary

Addresses

Primary practice location

5650 S 35TH Ave
Phoenix, AZ 85041-3531

Mailing address

8088 W Whitney Dr
Peoria, AZ 85345-6564

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
I20260316003575 AZ Practitioner - Clinical Social Worker 2264915453 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

66 E Flagler St
Miami, FL 33130-1807

8088 W Whitney Dr
Suite 2a
Peoria, AZ 85345-6564

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW-23625AZMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Maricopa County Special Health Care District CurrentSince Mar 3, 2026 Accepting new patients
Maricopa County Special Health Care District CurrentSince Mar 3, 2026 Accepting new patients
Breakdown Therapy, LLC Current Accepting new patients

Locations

8088 W Whitney Dr
Peoria, AZ 85345
Phone (602) 655-2000

5650 S 35th Ave
Phoenix, AZ 85041
Phone (602) 655-6400

Organizations & group practices 5

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": "1771804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787788800000",
    "number": "1235083668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8088 W WHITNEY DR",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853456564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5650 S 35TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850413531",
            "telephone_number": "833-855-9973",
            "fax_number": "602-655-9640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEGRAN",
        "first_name": "EZRA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-02-23",
        "last_updated": "2026-08-27",
        "certification_date": "2026-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "LCSW-23625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.