Active NPI
Lisa Bauschelt, LMSW
- Social Worker
- Peoria, AZ
National Provider Identifier
1295454015
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 16592
- Practice address
- 13260 N 94TH Dr Ste 100
Peoria, AZ 85381-4242 - Phone
- (623) 487-7763
- Fax
- (623) 486-8276
- NPI assigned
- Aug 24, 2022
- Last updated
- Dec 21, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 16592 | AZ | Primary |
| Clinical Social Worker | 1041C0700X | 21940 | AZ |
Addresses
Primary practice location
13260 N 94TH Dr Ste 100
Peoria, AZ 85381-4242
Mailing address
13260 N 94TH Dr Ste 100
Peoria, AZ 85381-4242
Phone (623) 487-7763
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16592 | AZ | MD | Social Worker |
| 21940 | AZ | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661299200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703116800000",
"number": "1295454015",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13260 N 94TH DR STE 100",
"city": "PEORIA",
"state": "AZ",
"postal_code": "853814242",
"telephone_number": "623-487-7763",
"fax_number": "623-486-8276"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13260 N 94TH DR STE 100",
"city": "PEORIA",
"state": "AZ",
"postal_code": "853814242",
"telephone_number": "623-487-7763",
"fax_number": "623-486-8276"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAUSCHELT",
"first_name": "LISA",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-24",
"last_updated": "2023-12-21",
"certification_date": "2023-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "AZ",
"license": "16592",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "AZ",
"license": "21940",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Peoria, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.