Individual provider Active NPI

Reita Jenae Juarez, LCSW

  • Clinical Social Worker
  • Mesa, AZ
National Provider Identifier
1568968287
Registry record updated May 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW-17605 Issued in AZ
Practice address
2500 S Power Rd Ste 120
Mesa, AZ 85209-6688
Phone
(480) 681-7772
NPI assigned
Apr 2, 2018
Last updated
May 5, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 5, 2026

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-17605 AZ Primary

Addresses

Primary practice location

2500 S Power Rd Ste 120
Mesa, AZ 85209-6688

Mailing address

1946 E Inverness Cir
Mesa, AZ 85204-8018
Phone (801) 310-7591

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, AZ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20191016002460 TX Practitioner - Clinical Social Worker 9436480829 Reassigns benefits to 1 organization
I20220225002214 AZ Practitioner - Clinical Social Worker 9436480829

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW-17605AZMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Gila River Health Care Corporation CurrentSince Aug 14, 2019 Accepting new patients
Gila River Health Care Corporation Current Accepting new patients
Gila River Health Care Corporation Current Accepting new patients
Gila River Health Care CurrentSince Aug 14, 2019 Accepting new patients

Locations

3042 W Queen Creek Rd
Chandler, AZ 85248
Phone (520) 796-2600

4577 W Pecos Rd
Laveen, AZ 85339
Phone (520) 550-6008

Organizations & group practices 5

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": "1522627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777939200000",
    "number": "1568968287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1946 E INVERNESS CIR",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852048018",
            "telephone_number": "801-310-7591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 S POWER RD STE 120",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852096688",
            "telephone_number": "480-681-7772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUAREZ",
        "first_name": "REITA",
        "middle_name": "JENAE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-02",
        "last_updated": "2026-05-05",
        "certification_date": "2026-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "LCSW-17605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.