Individual provider Active NPI

Pamela Jean Royster, LCSW

  • Clinical Social Worker
  • Phoenix, AZ
National Provider Identifier
1275212797
Registry record updated Oct 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW-22729 Issued in AZ
Practice address
750 E Thunderbird Rd Ste 1-3
Phoenix, AZ 85022-5306
Phone
(602) 230-7373
Fax
(602) 218-6383
NPI assigned
Jul 12, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 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-22729 AZ Primary

Addresses

Primary practice location

750 E Thunderbird Rd Ste 1-3
Phoenix, AZ 85022-5306

Mailing address

3101 N Central Ave Ste 550
Phoenix, AZ 85012-2635
Phone (602) 230-7373

Other practice location 1

2120 W Guadalupe Rd Ste 6
Mesa, AZ 85202-7366
Phone (602) 230-7373

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
I20251021001495 AZ Practitioner - Clinical Social Worker 4789172909 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3101 N Central Ave
Suite 550
Phoenix, AZ 85012-2635

7350 N Via Paseo del Sur Apt
Q202
Scottsdale, AZ 85258-3830

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW-22729AZMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Denova Collaborative Health, LLC CurrentSince Oct 6, 2025 Accepting new patients
Denova Collaborative Health, LLC Current Accepting new patients
Denova Collaborative Health, LLC CurrentSince Oct 6, 2025 Accepting new patients
Luca Counseling and Wellness Center LLC PastSince Nov 5, 2023 Accepting new patients

Locations

2120 W Guadalupe Rd
Ste 6
Mesa, AZ 85202
Phone (480) 629-8577

2120 W Guadalupe Rd
Ste 79
Mesa, AZ 85202
Phone (480) 629-8577

750 E Thunderbird Rd
#13
Phoenix, AZ 85022

3033 N Central Ave
Ste 700
Phoenix, AZ 85012
Phone (602) 281-7289

750 E Thunderbird Rd
Ste 13
Phoenix, AZ 85022
Phone (602) 682-7455

3101 N Central Ave
Ste 500
Phoenix, AZ 85012

3101 N Central Ave
Ste 550
Phoenix, AZ 85012

Organizations & group practices 4

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": "1689120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759708800000",
    "number": "1275212797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3101 N CENTRAL AVE STE 550",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850122635",
            "telephone_number": "602-230-7373",
            "fax_number": "602-682-7455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 E THUNDERBIRD RD STE 1-3",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850225306",
            "telephone_number": "602-230-7373",
            "fax_number": "602-218-6383"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2120 W Guadalupe Rd Ste 6",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852027366",
            "country_code": "US",
            "telephone_number": "602-230-7373",
            "fax_number": "480-629-8577",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROYSTER",
        "first_name": "PAMELA",
        "middle_name": "JEAN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-12",
        "last_updated": "2025-10-06",
        "certification_date": "2025-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "LCSW-22729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.