Individual provider Active NPI

Laura Woodruff, LCSW

  • Clinical Social Worker
  • Peoria, AZ
National Provider Identifier
1255147161
Registry record updated Jun 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW-22676 Issued in AZ
Practice address
21216 N 88TH LN
Peoria, AZ 85382-3424
Phone
(408) 891-7421
NPI assigned
Dec 5, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X LCSW-22676 AZ
Clinical Social Worker 1041C0700X LCSW-22676 AZ Primary

Addresses

Primary practice location

21216 N 88TH LN
Peoria, AZ 85382-3424

Mailing address

21216 N 88TH LN
Peoria, AZ 85382-3424
Phone (408) 891-7421

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
I20250522001350 AZ Practitioner - Clinical Social Worker 3375062359 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Recovia LLCGroup PAC ID 1456629211, 28 clinicians

Practice addresses (Care Compare)

9250 W Thomas Rd
Suite 250
Phoenix, AZ 85037-3362
Phone (480) 712-4600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Recovia LLC CurrentSince Mar 14, 2025 Accepting new patients

Locations

1760 E Pecos Rd
Ste 432
Gilbert, AZ 85295

6553 E Baywood Ave
Ste 209
Mesa, AZ 85206
Phone (480) 985-8478

2411 W Northern Ave
Ste 201
Phoenix, AZ 85021
Phone (602) 441-1750

337 E Coronado Rd
Ste 201
Phoenix, AZ 85004
Phone (602) 252-8081

19636 N 27th Ave
Ste 106
Phoenix, AZ 85027
Phone (480) 416-7200

9250 W Thomas Rd
Ste 250
Phoenix, AZ 85037
Phone (623) 234-4130

8322 E Hartford Dr
Ste 100
Scottsdale, AZ 85255

1910 E Southern Ave
Tempe, AZ 85282
Phone (480) 219-7178

6400 E Grant Rd
Ste 170
Tucson, AZ 85715
Phone (520) 600-2716

6060 N Fountain Plaza Dr
Ste 140
Tucson, AZ 85704

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": "1733356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749427200000",
    "number": "1255147161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21216 N 88TH LN",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853823424",
            "telephone_number": "408-891-7421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21216 N 88TH LN",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853823424",
            "telephone_number": "408-891-7421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODRUFF",
        "first_name": "LAURA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-05",
        "last_updated": "2025-06-09",
        "certification_date": "2025-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "AZ",
            "license": "LCSW-22676",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "LCSW-22676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, AZ

Sources for this page

Verify at the official NPI Registry.