Individual provider Active NPI

John Santacrose, LMSW

  • Social Worker
  • Phoenix, AZ
National Provider Identifier
1457773095
Registry record updated Jun 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
LMSW-14070 Issued in AZ
Practice address
1101 N Central Ave Ste 200
Phoenix, AZ 85004-1818
Phone
(602) 595-8161
Fax
(602) 307-5021
NPI assigned
Jan 16, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X LMSW-14070 AZ Primary

Addresses

Primary practice location

1101 N Central Ave Ste 200
Phoenix, AZ 85004-1818

Mailing address

9449 N 90TH St Ste 205
Scottsdale, AZ 85258-5037
Phone (480) 261-5015

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
I20180725001652 AZ Practitioner - Clinical Social Worker 9032466826 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ryan M Sheade LCSW LLCGroup PAC ID 3971813536, 2 clinicians

Practice addresses (Care Compare)

8079 N 85TH Way
Scottsdale, AZ 85258-4321
Phone (480) 261-5015

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LMSW-14070AZMDSocial Worker

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": "1389830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560729600000",
    "number": "1457773095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9449 N 90TH ST STE 205",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852585037",
            "telephone_number": "480-261-5015",
            "fax_number": "602-368-8266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 N CENTRAL AVE STE 200",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850041818",
            "telephone_number": "602-595-8161",
            "fax_number": "602-307-5021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTACROSE",
        "first_name": "JOHN",
        "name_prefix": "Mr.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-01-16",
        "last_updated": "2019-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "AZ",
            "license": "LMSW-14070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.