Andrew Benjamin Canvasser, LCSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

LCSW-23894 Issued in AZ

Practice address

3980 W Crystal Dr
Golden Valley, AZ 86413-9112

Phone

(702) 518-5714

NPI assigned

Jan 3, 2024

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Vermillion Skies Mental Health PLLC

  • Clinical Social Worker
  • Golden Valley, AZ
  • NPI 1467374231
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1704240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785024000000",
    "number": "1578333274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3980 W CRYSTAL DR",
            "city": "GOLDEN VALLEY",
            "state": "AZ",
            "postal_code": "864139112",
            "telephone_number": "702-518-5714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3980 W CRYSTAL DR",
            "city": "GOLDEN VALLEY",
            "state": "AZ",
            "postal_code": "864139112",
            "telephone_number": "702-518-5714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANVASSER",
        "first_name": "ANDREW",
        "middle_name": "BENJAMIN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-01-03",
        "last_updated": "2026-07-26",
        "certification_date": "2026-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "AZ",
            "license": "LCSW-23894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 66 Smart LLC
• Abundant Grace Senior Care, LLC
• Timothy Baker, FNP-C
• Bal-Tip Corp
• Dorothy Brown, LICENSE
• Comprehensive Health Services
• Helen M Davis, PHARM.D
• Alison Nichole Delk-Peck
• Dynamic Interventions of Arizona, LLC
• Jenna Exley

• Social Worker in Golden Valley, AZ
• Providers in Golden Valley, AZ by specialty
• Social Worker in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.