Individual provider Active NPI

Elizabeth Bergman Rahamim, LCSW

  • Clinical Social Worker
  • Chandler, AZ
National Provider Identifier
1245307180
Registry record updated Mar 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
15057 Issued in AZ
Practice address
3377 S Price Rd Ste 103
Chandler, AZ 85248-3573
Phone
(602) 412-8335
Fax
(480) 685-4948
NPI assigned
Nov 29, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 21882 CA
Clinical Social Worker 1041C0700X 15057 AZ Primary

Addresses

Primary practice location

3377 S Price Rd Ste 103
Chandler, AZ 85248-3573

Mailing address

4980 S Alma School Rd Ste A2-242
Chandler, AZ 85248-5605
Phone (480) 252-5152

Other identifiers 1

IdentifierTypeStateIssuer
332599MedicaidAZ

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
I20160413002202 AZ Practitioner - Clinical Social Worker 5991755613 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Strategies for Success Consulting, PCGroup PAC ID 6406154129, 6 clinicians

Practice addresses (Care Compare)

5656 S Power Rd
C 140
Gilbert, AZ 85295-8480
Phone (480) 252-5152

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
21882CAMDClinical Social Worker
15057AZMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Strategies for Success Consulting, PC Clinical CurrentSince Apr 13, 2016 Accepting new patients
Strategies for Success Consulting, PC CurrentSince Aug 30, 2020 Accepting new patients

Locations

1179 E Cottonwood Ln
Ste 7
Casa Grande, AZ 85122
Phone (480) 252-5152

3377 S Price Rd
Ste 103
Chandler, AZ 85248
Phone (480) 252-5152

4980 S Alma School Rd
Ste A2242
Chandler, AZ 85248

5656 S Power Rd
#C140
Gilbert, AZ 85295
Phone (480) 252-5152

42104 N Venture Dr
Ste C122
Phoenix, AZ 85086
Phone (480) 252-5152

10440 E Riggs Rd
Ste 207
Sun Lakes, AZ 85248
Phone (480) 252-5152

Organizations & group practices 2

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": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679011200000",
    "number": "1245307180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4980 S ALMA SCHOOL RD STE A2-242",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852485605",
            "telephone_number": "480-252-5152",
            "fax_number": "480-685-4948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3377 S PRICE RD STE 103",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852483573",
            "telephone_number": "602-412-8335",
            "fax_number": "480-685-4948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAHAMIM",
        "first_name": "ELIZABETH",
        "middle_name": "BERGMAN",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-29",
        "last_updated": "2023-03-17",
        "certification_date": "2023-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "21882",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "15057",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "332599",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

Verify at the official NPI Registry.