Organization Active NPI

Living Waters Institute, LLC

  • Clinical Social Worker
  • Surprise, AZ
National Provider Identifier
1649830340
Registry record updated Jun 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
LIVING WATERS INSTITUTE, LLC
Practice address
15331 W Bell Rd Ste 212
Surprise, AZ 85374-4104
Phone
(623) 226-8287
Fax
(480) 498-8161
NPI assigned
Jun 17, 2019
Last updated
Jun 17, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2019

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

Authorized official

Name
Christina Louise Sanford, LCSW
Title
Owner
Phone
(623) 226-8287

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

15331 W Bell Rd Ste 212
Surprise, AZ 85374-4104

Mailing address

12567 W Mazatzal Dr
Peoria, AZ 85383-0380
Phone (623) 226-8287

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1560729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560729600000",
    "number": "1649830340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12567 W MAZATZAL DR",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853830380",
            "telephone_number": "623-226-8287",
            "fax_number": "480-498-8161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15331 W BELL RD STE 212",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853744104",
            "telephone_number": "623-226-8287",
            "fax_number": "480-498-8161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING WATERS INSTITUTE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-17",
        "last_updated": "2019-06-17",
        "status": "A",
        "authorized_official_last_name": "SANFORD",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "623-226-8287",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Surprise, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2019; 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.