Individual provider Active NPI

William Arnaldo Vigo-Morales, LCSW

  • Clinical Social Worker
  • Mesa, AZ
National Provider Identifier
1619769890
Registry record updated May 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
23030 Issued in AZ
Practice address
4906 E Brown Rd Unit 15
Mesa, AZ 85205-4264
Phone
(787) 914-3982
NPI assigned
May 21, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 21, 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 23030 AZ Primary

Addresses

Primary practice location

4906 E Brown Rd Unit 15
Mesa, AZ 85205-4264

Mailing address

4906 E Brown Rd Unit 15
Mesa, AZ 85205-4264
Phone (787) 914-3982

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
I20250625003850 AZ Practitioner - Clinical Social Worker 4183136906 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
FKL Enterprises LLCGroup PAC ID 2961872205, 15 clinicians

Practice addresses (Care Compare)

3377 S Price Rd
Suite 105
Chandler, AZ 85248-3576
Phone (480) 674-9220

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
23030AZMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
FKL Enterprises, LLC CurrentSince May 1, 2025 Accepting new patients
FKL Enterprises, LLC PastSince May 1, 2024 Accepting new patients

Locations

3377 S Price Rd
Ste 105
Chandler, AZ 85248
Phone (480) 674-9220

4646 E Greenway Rd
Ste 100
Phoenix, AZ 85032
Phone (480) 674-9220

2222 W Pinnacle Peak Rd
Ste 220
Phoenix, AZ 85027
Phone (480) 674-9220

8700 E Via de Ventura
Ste 280
Scottsdale, AZ 85258
Phone (480) 210-7266

Organizations & group practices 2

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": "1747785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747785600000",
    "number": "1619769890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4906 E BROWN RD UNIT 15",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852054264",
            "telephone_number": "787-914-3982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4906 E BROWN RD UNIT 15",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852054264",
            "telephone_number": "787-914-3982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIGO-MORALES",
        "first_name": "WILLIAM",
        "middle_name": "ARNALDO",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-05-21",
        "last_updated": "2025-05-21",
        "certification_date": "2025-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "23030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.