Individual provider Active NPI

Anne Marie Cardinal, CISW

  • Clinical Social Worker
  • Mesa, AZ
National Provider Identifier
1528086691
Registry record updated Jun 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0741I Issued in AZ
Practice address
560 W Brown Rd
#4007
Mesa, AZ 85201-3221
Phone
(602) 470-5520
Fax
(480) 649-0783
NPI assigned
Jul 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2019

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 0741I AZ Primary

Addresses

Primary practice location

560 W Brown Rd
#4007
Mesa, AZ 85201-3221

Mailing address

3200 E Camelback Rd
Ste 250
Phoenix, AZ 85018-2327
Phone (602) 933-1814

Other practice location 1

560 W Brown Rd
#4007
Mesa, AZ 85201-3221
Phone (602) 470-5520

Other identifiers 1

IdentifierTypeStateIssuer
761868MedicaidAZ

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
I20090930000237 AZ Practitioner - Clinical Social Worker 4385780626 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0741IAZMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Phoenix Children'S Medical Group CurrentSince Jul 25, 2016 Accepting new patients
District Medical Group, Inc CurrentSince Mar 27, 2011 Accepting new patients
Phoenix Children'S Hospital CurrentSince Jul 25, 2016 Accepting new patients
District Medical Group, Inc Current Accepting new patients
District Medical Group, Inc CurrentSince Mar 27, 2011 Accepting new patients
District Medical Group, Inc Past Accepting new patients

Locations

560 W Brown Rd
Ste 4007
Mesa, AZ 85201
Phone (602) 470-5520

1919 E Thomas Rd
Ste Ambbldg
Phoenix, AZ 85016

2601 E Roosevelt St
Phoenix, AZ 85008
Phone (602) 220-0298

1919 E Thomas Rd
Ste Amb
Phoenix, AZ 85016

3200 E Camelback Rd
Ste 250
Phoenix, AZ 85018
Phone (602) 933-1814

3333 E Van Buren St
Phoenix, AZ 85008
Phone (602) 690-0598

1648 S 16th St
Phoenix, AZ 85034
Phone (602) 448-0935

1919 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 933-0777

3141 N 3rd Ave
Phoenix, AZ 85013
Phone (602) 914-1520

Organizations & group practices 6

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": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560470400000",
    "number": "1528086691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 E CAMELBACK RD",
            "address_2": "STE 250",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850182327",
            "telephone_number": "602-933-1814",
            "fax_number": "602-933-1820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 W BROWN RD",
            "address_2": "#4007",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852013221",
            "telephone_number": "602-470-5520",
            "fax_number": "480-649-0783"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "560 W Brown Rd",
            "address_2": "#4007",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852013221",
            "country_code": "US",
            "telephone_number": "602-470-5520",
            "fax_number": "480-649-0783",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARDINAL",
        "first_name": "ANNE",
        "middle_name": "MARIE",
        "credential": "CISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-17",
        "last_updated": "2019-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "0741I",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "761868",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.