Mindy Eglivitch, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW-19673 Issued in AZ

Practice address

16772 W Bell Rd Ste 110-186
Surprise, AZ 85374-9702

Phone

(781) 797-7685

NPI assigned

Jul 25, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NC, AZ2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Flowly Health Medical Group P a

  • Clinical Social Worker
  • Miami, FL
  • NPI 1235983826

  NC

  Medicare reassignment NPD
• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  AZ, Clinical, NC

  Medicare reassignment NPD
• Linda Munro Psy D PA

  • Military Hospital
  • Robins AFB, GA
  • NPI 1689886137

  Clinical

  NPD (past)
• New Day Counseling Center, Inc., P.C.

  • Community/Behavioral Health Agency
  • Fayetteville, NC
  • NPI 1275666448
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1185321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777248000000",
    "number": "1265632442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16772 W BELL RD STE 110-186",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853749702",
            "telephone_number": "781-797-7685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16772 W BELL RD STE 110-186",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853749702",
            "telephone_number": "781-797-7685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EGLIVITCH",
        "first_name": "MINDY",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-25",
        "last_updated": "2026-04-27",
        "certification_date": "2026-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "LCSW-19673",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C005727",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Lynne Edmondson, REGISTERED NURSE
• Kellie Rae Edwards, RN
• Sab Edwards, CNA
• Katie Egea
• Lisa Egleston, FNP-C
• Ashley Ehrenstrom, M.ED., ED.S.
• Christina Michelle Ehrler, PHARMD
• Taylor Ekiss, RBT
• Sogol Elam, PA-C
• Elder Joy LLC (Elder Joy Assisted Living)

• Clinical Social Worker in Surprise, AZ
• Providers in Surprise, AZ by specialty
• Clinical Social Worker in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.