Individual provider Active NPI

Bobette Siegel, MSW

  • Clinical Social Worker
  • Scottsdale, AZ
National Provider Identifier
1477604940
Registry record updated Dec 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
10901 Issued in AZ
Practice address
14362 N Frank Lloyd Wright Blvd Ste 1000
Scottsdale, AZ 85260
Phone
(480) 948-6222
Fax
(480) 219-9970
NPI assigned
Jan 13, 2007
Last updated
Dec 6, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 6, 2018

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 10901 AZ Primary

Addresses

Primary practice location

14362 N Frank Lloyd Wright Blvd Ste 1000
Scottsdale, AZ 85260

Mailing address

14362 N Frank Lloyd Wright Blvd Ste 1000
Scottsdale, AZ 85260-8847
Phone (480) 948-6222

Other practice location 1

15849 N 71st St
Suite 100
Scottsdale, AZ 85254-2179
Phone (480) 948-6222

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
I20070509000087 AZ Practitioner - Clinical Social Worker 3971609884 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1974
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

14362 N Frank Lloyd Wright Blvd
Suite 1000
Scottsdale, AZ 85260-8847
Phone (480) 948-6222

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10901AZMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bobette Smith Siegel MSW LLC Clinical CurrentSince Jul 12, 2006 Accepting new patients

Locations

14362 N Frank Lloyd Wright Blvd
Ste 1000
Scottsdale, AZ 85260
Phone (480) 948-6222

15849 N 71st St
#100
Scottsdale, AZ 85254
Phone (480) 384-0030

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": "1168646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544054400000",
    "number": "1477604940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14362 N FRANK LLOYD WRIGHT BLVD STE 1000",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852608847",
            "telephone_number": "480-948-6222",
            "fax_number": "480-219-9970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14362 N FRANK LLOYD WRIGHT BLVD STE 1000",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "85260",
            "telephone_number": "480-948-6222",
            "fax_number": "480-219-9970"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15849 N 71st St",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852542179",
            "country_code": "US",
            "telephone_number": "480-948-6222",
            "fax_number": "480-219-9970",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIEGEL",
        "first_name": "BOBETTE",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-13",
        "last_updated": "2018-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "10901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.