Individual provider Active NPI

Danielle Japenga, LCSW

  • Clinical Social Worker
  • Goodyear, AZ
National Provider Identifier
1346768587
Registry record updated Oct 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
19994 Issued in AZ
Practice address
250 N Litchfield Rd Ste 201
Goodyear, AZ 85338-1372
Phone
(623) 337-2275
Fax
(623) 800-7626
NPI assigned
Sep 8, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2022

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 19994 AZ Primary

Addresses

Primary practice location

250 N Litchfield Rd Ste 201
Goodyear, AZ 85338-1372

Mailing address

PO Box 303
Litchfield Park, AZ 85340-0303
Phone (602) 529-1463

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

LicenseStateTypeSpecialty
19994AZMDHospice and Palliative Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mind Empowerment LLC Clinical CurrentSince Mar 12, 2023 Accepting new patients

Locations

11225 N 28th Dr
Ste D220C
Phoenix, AZ 85029
Phone (480) 532-4156

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": "1504828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666742400000",
    "number": "1346768587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 303",
            "city": "LITCHFIELD PARK",
            "state": "AZ",
            "postal_code": "853400303",
            "telephone_number": "602-529-1463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 N LITCHFIELD RD STE 201",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853381372",
            "telephone_number": "623-337-2275",
            "fax_number": "623-800-7626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAPENGA",
        "first_name": "DANIELLE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-08",
        "last_updated": "2022-10-26",
        "certification_date": "2022-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "19994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goodyear, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.