Active NPI
Bupe Kapansa, LCSW
- Clinical Social Worker
- Chandler, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW-22251
- Practice address
- 70 N McClintock Dr Ste 4
Chandler, AZ 85226-3711 - Phone
- (855) 501-1004
- Fax
- (480) 464-2338
- NPI assigned
- Apr 20, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | LCSW-22251 | AZ | |
| Clinical Social Worker | 1041C0700X | LCSW-22251 | AZ | Primary |
Addresses
Primary practice location
70 N McClintock Dr Ste 4
Chandler, AZ 85226-3711
Mailing address
3835 N Freeway Blvd Ste 100
Sacramento, CA 95834-1954
Phone (916) 576-7900
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
70 N McClintock Dr
Suite 4
Chandler, AZ 85226-3711
Phone (480) 464-4431
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCSW-22251 | AZ | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mindpath Health Arizona, LLC | Clinical | Current | Accepting new patients |
Locations
1347 N Alma School Rd
Ste 120
Chandler, AZ 85224
70 N McClintock Dr
Ste 4
Chandler, AZ 85226
Phone (480) 464-4431
3835 N Freeway Blvd
Ste 100
Sacramento, CA 95834
Phone (916) 576-7898
Interoperability endpoints
- mpaz.bupe.kapansa@151006.advancedmd-direct.com
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": "1650412800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727308800000",
"number": "1356084933",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3835 N FREEWAY BLVD STE 100",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958341954",
"telephone_number": "916-576-7900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "70 N MCCLINTOCK DR STE 4",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852263711",
"telephone_number": "855-501-1004",
"fax_number": "480-464-2338"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAPANSA",
"first_name": "BUPE",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-04-20",
"last_updated": "2024-09-26",
"certification_date": "2024-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "AZ",
"license": "LCSW-22251",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "AZ",
"license": "LCSW-22251",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chandler, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2024; 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.