Organization Active NPI

Bobette Smith Siegel MSW LLC

  • Clinical Social Worker
  • Scottsdale, AZ
National Provider Identifier
1336358779
Registry record updated Dec 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW 10901 Issued in AZ
Legal business name
BOBETTE SMITH SIEGEL MSW LLC
Practice address
14362 N Frank Lloyd Wright Blvd Ste 1000
Scottsdale, AZ 85260
Phone
(480) 948-6222
Fax
(480) 219-9970
NPI assigned
May 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2018

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

Authorized official

Name
Bobette Siegel, MSWNPI 1477604940
Title
Owner
Phone
(480) 948-6222

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X LCSW 10901 AZ Primary

Addresses

Primary practice location

14362 N Frank Lloyd Wright Blvd Ste 1000
Scottsdale, AZ 85260

Mailing address

14362 N Frank Lloyd Wright Blvd Ste 1000
Scottsdale, AZ 85260-8847
Phone (480) 948-6222

Other practice location 1

15849 N 71st St
Suite 100
Scottsdale, AZ 85254-2179
Phone (480) 948-6222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070619000240 AZ Part B Supplier - Clinic/Group Practice 0143329086 Receives reassigned benefits from 1 practitioner
Practice locations: Scottsdale, AZ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1544054400000",
    "number": "1336358779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14362 N FRANK LLOYD WRIGHT BLVD STE 1000",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852608847",
            "telephone_number": "480-948-6222",
            "fax_number": "480-219-9970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14362 N FRANK LLOYD WRIGHT BLVD STE 1000",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "85260",
            "telephone_number": "480-948-6222",
            "fax_number": "480-219-9970"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15849 N 71st St",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852542179",
            "country_code": "US",
            "telephone_number": "480-948-6222",
            "fax_number": "480-219-9970",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BOBETTE SMITH SIEGEL MSW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2018-12-06",
        "status": "A",
        "authorized_official_last_name": "SIEGEL",
        "authorized_official_first_name": "BOBETTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-948-6222",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "LCSW 10901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.