Jeanette Leal Mazon, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

19165 Issued in AZ

Practice address

124 W Thomas Rd Ste 320
Phoenix, AZ 85013-4415

Phone

(602) 406-8521

Fax

(602) 406-1011

NPI assigned

Feb 26, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Phoenix Children's Hospital

  dba Phoenix Children's Medical Group

  • Pediatrics Physician
  • Phoenix, AZ
  • NPI 1922112044
  Medicare reassignment NPD
• Phoenix Children's Medical Group

  • Multi-Specialty Clinic/Center
  • Mesa, AZ
  • NPI 1487814240
  NPD

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

{
    "created_epoch": "1614297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614297600000",
    "number": "1467046755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 W THOMAS RD STE 320",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850134415",
            "telephone_number": "602-406-8521",
            "fax_number": "602-406-1011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 W THOMAS RD STE 320",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850134415",
            "telephone_number": "602-406-8521",
            "fax_number": "602-406-1011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAZON",
        "first_name": "JEANETTE",
        "middle_name": "LEAL",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-26",
        "last_updated": "2021-02-26",
        "certification_date": "2021-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "19165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jeanette.mazon@dignityhealth.org",
            "affiliation": "N",
            "endpointDescription": "work email",
            "address_1": "124 W Thomas Rd Ste 320",
            "city": "Phoenix",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "850134415",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Racha Mayta
• Lourdes Araceli Maytorena, R.N.
• Sandeep Mayur, MD
• Aubrey Maze, MD
• Serene Mazhar, RD
• Marek J Mazur, M.D.
• Erica Mazza
• Theresa Mazza, RDN
• Abby L Mazzarella, PHARMD
• Alberta Mazzei, M.D.

• Clinical Social Worker in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Clinical Social Worker in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.