Active NPI
Jennifer Torres Islas, LMSW
- Clinical Social Worker
- Phoenix, AZ
National Provider Identifier
1518648641
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LMSW-7961T
- Practice address
- 9520 W Palm LN Ste 240
Phoenix, AZ 85037-4448 - Phone
- (623) 289-1654
- Fax
- (623) 233-5189
- NPI assigned
- Jul 31, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LMSW-7961T | AZ | Primary |
Addresses
Primary practice location
9520 W Palm LN Ste 240
Phoenix, AZ 85037-4448
Mailing address
6500 W Glendale Ave Lot 34
Glendale, AZ 85301-2318
Phone (623) 277-0881
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LMSW-7961T | AZ | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bridge Counseling Services LLC | Clinical | Current | Accepting new patients |
| Bridge Consulting Services LLC | Clinical | Past | Accepting new patients |
Locations
9520 W Palm Ln
Ste 240
Phoenix, AZ 85037
Phone (240) 375-9474
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": "1690761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690761600000",
"number": "1518648641",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6500 W GLENDALE AVE LOT 34",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853012318",
"telephone_number": "623-277-0881"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9520 W PALM LN STE 240",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850374448",
"telephone_number": "623-289-1654",
"fax_number": "623-233-5189"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TORRES ISLAS",
"first_name": "JENNIFER",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-07-31",
"last_updated": "2023-07-31",
"certification_date": "2023-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "AZ",
"license": "LMSW-7961T",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.