Individual provider Active NPI

Terri Waibel, LCSW

  • Clinical Social Worker
  • Chandler, AZ
National Provider Identifier
1619475902
Registry record updated Dec 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW-17019 Issued in AZ
Practice address
1331 N Alma School Rd Ste 100
Chandler, AZ 85224-5939
Phone
(480) 530-6441
NPI assigned
Feb 1, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X
Clinical Social Worker 1041C0700X LCSW-17019 AZ Primary
Mental Health Counselor 101YM0800X

Addresses

Primary practice location

1331 N Alma School Rd Ste 100
Chandler, AZ 85224-5939

Mailing address

1331 N Alma School Rd Ste 100
Chandler, AZ 85224-5939
Phone (480) 530-6441

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective May 13, 2024 through May 13, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LCSW-17019AZMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Compassion, PLLC Clinical CurrentSince Dec 28, 2022 Accepting new patients

Locations

333 N Dobson Rd
Ste 5
Chandler, AZ 85224
Phone (480) 280-8888

1331 N Alma School Rd
Ste 100
Chandler, AZ 85224
Phone (480) 530-6441

Organizations & group practices 1

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": "1517443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671408000000",
    "number": "1619475902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1331 N ALMA SCHOOL RD STE 100",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852245939",
            "telephone_number": "480-530-6441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1331 N ALMA SCHOOL RD STE 100",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852245939",
            "telephone_number": "480-530-6441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAIBEL",
        "first_name": "TERRI",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-01",
        "last_updated": "2022-12-19",
        "certification_date": "2022-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "LCSW-17019",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

Verify at the official NPI Registry.