Individual provider Active NPI

Cynthia Carrell, LCSW

  • Clinical Social Worker
  • Phoenix, AZ
National Provider Identifier
1417405523
Registry record updated Nov 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
15570 Issued in AZ
Practice address
301 E Bethany Home Rd Ste C189
Phoenix, AZ 85012-1295
Phone
(480) 313-0020
NPI assigned
Sep 17, 2016
Last updated
Nov 30, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2025

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 15570 AZ Primary

Addresses

Primary practice location

301 E Bethany Home Rd Ste C189
Phoenix, AZ 85012-1295

Mailing address

301 E Bethany Home Rd Ste C189
Phoenix, AZ 85012-1295
Phone (480) 313-0020

Other names 1

  • Cynthia Hauser Former name

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
I20190911003777 AZ Practitioner - Clinical Social Worker 7618206905 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

4600 E Shea Blvd
Suite 200
Phoenix, AZ 85028-6058
Phone (480) 313-0020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15570AZMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Cynthia Hauser LCSW LLC Clinical CurrentSince Apr 1, 2020 Accepting new patients

Locations

4600 E Shea Blvd
Ste 200
Phoenix, AZ 85028
Phone (480) 313-0020

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1474070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764460800000",
    "number": "1417405523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 E BETHANY HOME RD STE C189",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850121295",
            "telephone_number": "480-313-0020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 E BETHANY HOME RD STE C189",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850121295",
            "telephone_number": "480-313-0020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRELL",
        "first_name": "CYNTHIA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-17",
        "last_updated": "2025-11-30",
        "certification_date": "2025-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "15570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CYNTHIA",
            "last_name": "HAUSER",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.