Individual provider Active NPI

Tandie T Myles, LCSW

  • Clinical Social Worker
  • Phoenix, AZ
National Provider Identifier
1528418423
Registry record updated Apr 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW 13527 Issued in AZ
Practice address
3877 N 7TH St Ste 400
Phoenix, AZ 85014-5061
Phone
(602) 258-6797
NPI assigned
Jun 21, 2016
Last updated
Apr 28, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2025

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 LCSW 13527 AZ Primary

Addresses

Primary practice location

3877 N 7TH St Ste 400
Phoenix, AZ 85014-5061

Mailing address

3877 N 7TH St Ste 400
Phoenix, AZ 85014-5061
Phone (602) 258-6797

Other practice location 1

3807 N 7th St
Phoenix, AZ 85014-5005
Phone (602) 258-6797

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
I20170815004623 AZ Practitioner - Clinical Social Worker 8820360555 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW 13527AZMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Valle del Sol, Inc. CurrentSince Mar 16, 2025 Accepting new patients
Chiricahua Community Health Centers, Inc. CurrentSince Jun 17, 2019 Accepting new patients
Sondermind Provider Network LLC Clinical CurrentSince Oct 25, 2021 Accepting new patients
Chiricahua Community Health Centers, Inc CurrentSince Jun 17, 2019 Accepting new patients
Valle del Sol, Inc. Current Accepting new patients
Valle del Sol, Inc. CurrentSince Mar 16, 2025 Accepting new patients
Chiricahua Community Health Centers, Inc Current Accepting new patients

Locations

1205 N F Ave
Douglas, AZ 85607
Phone (520) 364-6852

1205 N F Ave
Ste 1600
Douglas, AZ 85607

10566 N Highway 191
Elfrida, AZ 85610
Phone (520) 642-2222

20 E Thomas Rd
Ste 2200
Phoenix, AZ 85012
Phone (310) 515-8113

3807 N 7th St
Phoenix, AZ 85014

3877 N 7th St
Ste 400
Phoenix, AZ 85014
Phone (602) 257-8118

155 Calle Portal
Ste 300
Sierra Vista, AZ 85635
Phone (520) 458-6331

155 Calle Portal
Ste 700
Sierra Vista, AZ 85635
Phone (520) 459-0203

Organizations & group practices 7

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": "1466467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745798400000",
    "number": "1528418423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3877 N 7TH ST STE 400",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850145061",
            "telephone_number": "602-258-6797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3877 N 7TH ST STE 400",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850145061",
            "telephone_number": "602-258-6797"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3807 N 7th St",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850145005",
            "country_code": "US",
            "telephone_number": "602-258-6797",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MYLES",
        "first_name": "TANDIE",
        "middle_name": "T",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-21",
        "last_updated": "2025-04-28",
        "certification_date": "2025-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "LCSW 13527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.