Individual provider Active NPI

Linda Wiskerchen, COUNSELOR

  • Mental Health Counselor
  • Phoenix, AZ
National Provider Identifier
1578596102
Registry record updated May 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LCSW12488 Issued in AZ
Practice address
11022 S 51St St
#100
Phoenix, AZ 85044-4308
Phone
(480) 861-9624
NPI assigned
Jul 8, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 11, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LCSW12488 AZ Primary
Clinical Social Worker 1041C0700X LCSW12488 AZ

Addresses

Primary practice location

11022 S 51St St
#100
Phoenix, AZ 85044-4308

Mailing address

11022 S 51St St
#100
Phoenix, AZ 85044-4308
Phone (480) 861-9624

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
I20250714002328 AZ Practitioner - Clinical Social Worker 9436664083 Practice locations: Phoenix, AZ

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

11022 S 51St St
Suite 103
Phoenix, AZ 85044-1789
Phone (480) 861-9624

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW12488AZMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305072000000",
    "number": "1578596102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11022 S 51ST ST",
            "address_2": "#100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850444308",
            "telephone_number": "480-861-9624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11022 S 51ST ST",
            "address_2": "#100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850444308",
            "telephone_number": "480-861-9624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISKERCHEN",
        "first_name": "LINDA",
        "credential": "COUNSELOR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-08",
        "last_updated": "2011-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "LCSW12488",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "LCSW12488",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.