Individual provider Active NPI

Kiersten Wells, LCSW

  • Clinical Social Worker
  • Peoria, AZ
National Provider Identifier
1326894866
Registry record updated Aug 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW-22182 Issued in AZ
Practice address
9051 W Kelton LN Ste 13
Peoria, AZ 85382-3533
Phone
(623) 815-5700
Fax
(623) 815-5759
NPI assigned
Apr 25, 2024
Last updated
Aug 18, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 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-22182 AZ Primary

Addresses

Primary practice location

9051 W Kelton LN Ste 13
Peoria, AZ 85382-3533

Mailing address

2700 N Central Ave Ste 1050
Phoenix, AZ 85004-1217
Phone (602) 266-8402

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
I20250331001611 AZ Practitioner - Clinical Social Worker 2365965316 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Network Current Accepting new patients
Southwest Network CurrentSince Mar 17, 2025 Accepting new patients
Southwest Network, Inc. CurrentSince Mar 17, 2025 Accepting new patients
Cactus Flower Healing LLC Clinical Past Accepting new patients

Locations

9051 W Kelton Ln
Ste 13
Peoria, AZ 85382
Phone (623) 815-5700

2444 E University Dr
Ste 150
Phoenix, AZ 85034
Phone (602) 304-0014

2700 N Central Ave
Ste 1050
Phoenix, AZ 85004
Phone (602) 266-8402

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1714003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755475200000",
    "number": "1326894866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 N CENTRAL AVE STE 1050",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850041217",
            "telephone_number": "602-266-8402",
            "fax_number": "602-264-0887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9051 W KELTON LN STE 13",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853823533",
            "telephone_number": "623-815-5700",
            "fax_number": "623-815-5759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLS",
        "first_name": "KIERSTEN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-25",
        "last_updated": "2025-08-18",
        "certification_date": "2025-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "LCSW-22182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, AZ

Sources for this page

Verify at the official NPI Registry.