Individual provider Active NPI

Dana Van Milligan Kim

  • Clinical Social Worker
  • Mesa, AZ
National Provider Identifier
1376348862
Registry record updated Jul 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW-23212 Issued in AZ
Practice address
1705 W Main St
Mesa, AZ 85201-6920
Phone
(480) 964-2273
Fax
(480) 718-9477
NPI assigned
Feb 18, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2026

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-23212 AZ Primary

Addresses

Primary practice location

1705 W Main St
Mesa, AZ 85201-6920

Mailing address

3033 N Central Ave Ste 145
Phoenix, AZ 85012-2808
Phone (623) 583-3001

Other practice location 1

1209 S 1st Ave
Phoenix, AZ 85003-2692
Phone (602) 258-6797

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
I20251217002521 AZ Practitioner - Clinical Social Worker 8921593922 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3033 N Central Ave
Suite 145
Phoenix, AZ 85012-2808

3877 N 7TH St
S400
Phoenix, AZ 85014-5072

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW-23212AZMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Valle del Sol, Inc. CurrentSince Nov 28, 2025 Accepting new patients
Valle del Sol, Inc. CurrentSince Nov 28, 2025 Accepting new patients

Locations

4135 S Power Rd
Ste 108
Mesa, AZ 85212
Phone (480) 641-1511

1209 S 1st Ave
Phoenix, AZ 85003
Phone (602) 282-8006

3877 N 7th St
Ste 400
Phoenix, AZ 85014
Phone (602) 257-8118

3807 N 7th St
Phoenix, AZ 85014

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1739836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784160000000",
    "number": "1376348862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3033 N CENTRAL AVE STE 145",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850122808",
            "telephone_number": "623-583-3001",
            "fax_number": "623-974-6721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1705 W MAIN ST",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852016920",
            "telephone_number": "480-964-2273",
            "fax_number": "480-718-9477"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1209 S 1st Ave",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850032692",
            "country_code": "US",
            "telephone_number": "602-258-6797",
            "fax_number": "602-248-8119",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAN MILLIGAN KIM",
        "first_name": "DANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-18",
        "last_updated": "2026-07-16",
        "certification_date": "2026-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "LCSW-23212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.