Individual provider Active NPI

Asa Racquel Aramburo, LCSW

  • Clinical Social Worker
  • Phoenix, AZ
National Provider Identifier
1306289277
Registry record updated Dec 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
17401 Issued in AZ
Practice address
6717 N Ocotillo Hermosa Cir
Phoenix, AZ 85016-1017
Phone
(602) 652-2613
Fax
(602) 223-1235
NPI assigned
Apr 10, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 30, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X L5547 OR
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 17401 AZ Primary

Addresses

Primary practice location

6717 N Ocotillo Hermosa Cir
Phoenix, AZ 85016-1017

Mailing address

6717 N Ocotillo Hermosa Cir
Phoenix, AZ 85016-1017
Phone (602) 652-2613

Other names 1

  • Asa Racquel Gemignani Former name

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
I20240131002840 AZ Practitioner - Clinical Social Worker 8325317910 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

6717 N Ocotillo Hermosa Cir
Phoenix, AZ 85016-1017
Phone (541) 610-3913

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
17401AZMDClinical Social Worker
L5547ORMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Asa R Aramburo MSW LCSW PLLC Clinical CurrentSince Nov 18, 2023 Accepting new patients

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": "1365552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640822400000",
    "number": "1306289277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6717 N OCOTILLO HERMOSA CIR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850161017",
            "telephone_number": "602-652-2613",
            "fax_number": "602-223-1235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6717 N OCOTILLO HERMOSA CIR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850161017",
            "telephone_number": "602-652-2613",
            "fax_number": "602-223-1235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARAMBURO",
        "first_name": "ASA",
        "middle_name": "RACQUEL",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-10",
        "last_updated": "2021-12-30",
        "certification_date": "2021-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L5547",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "17401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASA",
            "last_name": "GEMIGNANI",
            "middle_name": "RACQUEL",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.