Natalie J Andersen, MSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW-16697 Issued in AZ

Practice address

8700 E Via de Ventura Ste 280
Scottsdale, AZ 85258-4541

Phone

(480) 210-7266

NPI assigned

Mar 24, 2008

Last updated

Nov 30, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Clinical Social Worker

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

FKL Enterprises LLCGroup PAC ID 2961872205, 15 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• FKL Enterprises, LLC

  dba reVIBE Mental Health

  • Marriage & Family Therapist
  • Scottsdale, AZ
  • NPI 1346982782
  Medicare reassignment Care Compare group NPD
• Desert Rain Behavioral Health Services, LLC

  • Community/Behavioral Health Agency
  • Tempe, AZ
  • NPI 1770870032
  NPD (past)
• FKL Enterprises, LLC

  dba reVIBE Mental Health

  • Marriage & Family Therapist
  • Phoenix, AZ
  • NPI 1316796790
  NPD (past)

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

{
    "created_epoch": "1206316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701302400000",
    "number": "1346412954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8700 E VIA DE VENTURA STE 280",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852584541",
            "telephone_number": "480-210-7266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8700 E VIA DE VENTURA STE 280",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852584541",
            "telephone_number": "480-210-7266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSEN",
        "first_name": "NATALIE",
        "middle_name": "J",
        "name_prefix": "Ms.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-24",
        "last_updated": "2023-11-30",
        "certification_date": "2023-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "LCSW-16697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fleurette Ancrum
• Ernest Rudolph Anders III, MD
• Danielle Andersen, MS
• Kathleen Elizabeth Andersen, BSN, RN
• Kristine Andersen, LMSW, PSY-DC
• Robert M Andersen, PHARM.D
• Stephen H Andersen, M.D.
• Anderson Psychological Associates
• Adrijana Anderson, PA-C
• Dana Leigh Anderson, PH.D

• Clinical Social Worker in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Clinical Social Worker in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.