Individual provider Active NPI

Nicole T Valdez, LCSW

  • Clinical Social Worker
  • Phoenix, AZ
National Provider Identifier
1447587613
Registry record updated Mar 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW-12508 Issued in AZ
Practice address
16251 N Cave Creek Rd
Phoenix, AZ 85032-2976
Phone
(808) 824-5454
Fax
(602) 992-1953
NPI assigned
Nov 9, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 9, 2023

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-12508 AZ Primary

Addresses

Primary practice location

16251 N Cave Creek Rd
Phoenix, AZ 85032-2976

Mailing address

7500 N Dreamy Draw Dr Ste 145
Phoenix, AZ 85020-4668
Phone (480) 882-4545

Other practice location 1

9015 N 3rd St
Phoenix, AZ 85020-2444
Phone (480) 882-4545

Other identifiers 1

IdentifierTypeStateIssuer
475846MedicaidAZ

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
I20160321002017 AZ Practitioner - Clinical Social Worker 2264739101 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

20440 N 27TH Ave
Phoenix, AZ 85027-3240
Phone (480) 882-4545

8705 E McDowell Rd
Scottsdale, AZ 85257-3909
Phone (480) 882-4545

9015 N 3Rd St
Phoenix, AZ 85020-2444
Phone (480) 882-4545

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW-12508AZMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Neighborhood Outreach Access to Health CurrentSince Mar 7, 2016 Accepting new patients
Neighborhood Outreach Access to Health CurrentSince Mar 7, 2016 Accepting new patients

Locations

11851 N 51st Ave
Ste F140
Glendale, AZ 85304
Phone (623) 428-0001

11851 N 51st Ave
Ste B110
Glendale, AZ 85304

6677 W Thunderbird Rd
Ste A124
Glendale, AZ 85306
Phone (623) 223-9677

6206 W Bell Rd
Glendale, AZ 85308
Phone (602) 978-5999

9015 N 3rd St
Phoenix, AZ 85020

7500 N Dreamy Draw Dr
Ste 145
Phoenix, AZ 85020

3330 N 2nd St
Ste 500
Phoenix, AZ 85012
Phone (602) 910-0069

20440 N 27th Ave
Phoenix, AZ 85027

3525 W Calavar Rd
Phoenix, AZ 85053
Phone (602) 938-8150

4131 N 24th St
Ste B102
Phoenix, AZ 85016
Phone (602) 955-6632

16251 N Cave Creek Rd
Phoenix, AZ 85032

1300 N 48th St
Phoenix, AZ 85008
Phone (480) 882-5917

8705 E McDowell Rd
Scottsdale, AZ 85257

7301 E 2nd St
Ste 210
Scottsdale, AZ 85251
Phone (480) 534-4515

Organizations & group practices 2

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": "1257724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678320000000",
    "number": "1447587613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7500 N DREAMY DRAW DR STE 145",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850204668",
            "telephone_number": "480-882-4545",
            "fax_number": "480-882-5814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16251 N CAVE CREEK RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850322976",
            "telephone_number": "808-824-5454",
            "fax_number": "602-992-1953"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9015 N 3rd St",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850202444",
            "country_code": "US",
            "telephone_number": "480-882-4545",
            "fax_number": "602-870-6348",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VALDEZ",
        "first_name": "NICOLE",
        "middle_name": "T",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-11-09",
        "last_updated": "2023-03-09",
        "certification_date": "2023-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "LCSW-12508",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "475846",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.