Individual provider Active NPI

Jacquelyn Joy Zandrews, MS MSW LISW

  • Clinical Social Worker
  • Sierra Vista, AZ
National Provider Identifier
1629122189
Registry record updated Sep 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW22831 Issued in AZ
Practice address
25 El Camino Real
Suite 4
Sierra Vista, AZ 85635
Phone
(520) 417-0996
Fax
(520) 417-2042
NPI assigned
Jan 22, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 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 SW22831 AZ Primary

Addresses

Primary practice location

25 El Camino Real
Suite 4
Sierra Vista, AZ 85635

Mailing address

7655 E Alhambra
Sierra Vista, AZ 85650-9106
Phone (520) 378-6875

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
SW22831AZMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789862400000",
    "number": "1629122189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7655 E ALHAMBRA",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856509106",
            "telephone_number": "520-378-6875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 EL CAMINO REAL",
            "address_2": "SUITE 4",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "85635",
            "telephone_number": "520-417-0996",
            "fax_number": "520-417-2042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZANDREWS",
        "first_name": "JACQUELYN",
        "middle_name": "JOY",
        "name_prefix": "Ms.",
        "credential": "MS MSW LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-22",
        "last_updated": "2026-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "SW22831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sierra Vista, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 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.