Individual provider Active NPI

Annette Zaccari, LCSW

  • Clinical Social Worker
  • Scottsdale, AZ
National Provider Identifier
1275527590
Registry record updated Nov 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW-4115 Issued in AZ
Practice address
1717 N 77TH St
Suite 14
Scottsdale, AZ 85257-2238
Phone
(480) 421-1431
Fax
(480) 421-1436
NPI assigned
Aug 31, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 7, 2023

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-4115 AZ Primary

Addresses

Primary practice location

1717 N 77TH St
Suite 14
Scottsdale, AZ 85257-2238

Mailing address

1717 N 77TH St Ste 19
Scottsdale, AZ 85257-2261
Phone (480) 421-1431

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
I20110622000421 AZ Practitioner - Clinical Social Worker 9032397013 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1717 N 77TH St
Suite 19
Scottsdale, AZ 85257-2261
Phone (480) 421-1431

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Zaccari & Associates, LLC Clinical CurrentSince Apr 24, 2011 Accepting new patients

Locations

1717 N 77th St
Ste 19
Scottsdale, AZ 85257
Phone (480) 421-1431

1717 N 77th St
Ste 14
Scottsdale, AZ 85257
Phone (480) 421-1431

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": "1125446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699315200000",
    "number": "1275527590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 N 77TH ST STE 19",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852572261",
            "telephone_number": "480-421-1431",
            "fax_number": "480-421-1436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 N 77TH ST",
            "address_2": "SUITE 14",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852572238",
            "telephone_number": "480-421-1431",
            "fax_number": "480-421-1436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZACCARI",
        "first_name": "ANNETTE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-31",
        "last_updated": "2023-11-07",
        "certification_date": "2023-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "LCSW-4115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.