Individual provider Active NPI

Daniel Kapelle

  • Clinical Social Worker
  • Peoria, AZ
National Provider Identifier
1669146627
Registry record updated Sep 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW-18707 Issued in AZ
Practice address
8765 W Kelton LN BLDG A2
Peoria, AZ 85382-3584
Phone
(602) 613-0403
NPI assigned
Aug 4, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2024

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 LCSW-18707 AZ Primary

Addresses

Primary practice location

8765 W Kelton LN BLDG A2
Peoria, AZ 85382-3584

Mailing address

17421 N 85TH Dr
Peoria, AZ 85382-8026
Phone (970) 397-9225

Other practice location 1

8765 W Kelton Ln Bldg B3
Peoria, AZ 85382-3584
Phone (602) 613-0403

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
I20251208003470 AZ Practitioner - Clinical Social Worker 0840784872 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2014
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

21410 N 19TH Ave
Suite 151
Phoenix, AZ 85027-2761

6612 E Carondelet Dr
Tucson, AZ 85710-2119

PO Box
Phoenix, AZ 85072

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW-18707AZMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
U2Rworthit1 LLC CurrentSince Nov 25, 2025 Accepting new patients
Arizona Total Care LLC CurrentSince Nov 25, 2025 Accepting new patients
DK Counseling and Clinical Supervision, LLC CurrentSince Nov 10, 2024 Accepting new patients
Arizona Total Care LLC PastSince Jun 23, 2025 Accepting new patients

Locations

8765 W Kelton Ln
Bldg B3
Peoria, AZ 85382
Phone (602) 613-0403

6612 E Carondelet Dr
Tucson, AZ 85710
Phone (520) 207-1585

Organizations & group practices 4

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": "1628035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725408000000",
    "number": "1669146627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17421 N 85TH DR",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853828026",
            "telephone_number": "970-397-9225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8765 W KELTON LN BLDG A2",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853823584",
            "telephone_number": "602-613-0403"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8765 W Kelton Ln Bldg B3",
            "address_purpose": "LOCATION",
            "city": "Peoria",
            "state": "AZ",
            "postal_code": "853823584",
            "country_code": "US",
            "telephone_number": "602-613-0403",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAPELLE",
        "first_name": "DANIEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-04",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "LCSW-18707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, AZ

Sources for this page

Verify at the official NPI Registry.