Individual provider Active NPI

Wendy Chandross, MSW, LCSW

  • Clinical Social Worker
  • Phoenix, AZ
National Provider Identifier
1669579603
Registry record updated Sep 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW-10960 Issued in AZ
Practice address
22307 N 39TH Way
Phoenix, AZ 85050-5428
Phone
(602) 571-1978
NPI assigned
Sep 20, 2006
Last updated
Sep 25, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 25, 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 LCSW-10960 AZ Primary

Addresses

Primary practice location

22307 N 39TH Way
Phoenix, AZ 85050-5428

Mailing address

21001 N Tatum Blvd Ste 1630-190
Phoenix, AZ 85050-4206
Phone (602) 571-1978

Other identifiers 1

IdentifierTypeStateIssuer
944307MedicaidAZ

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
I20050709000074 AZ Practitioner - Clinical Social Worker 1355377615 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

22307 N 39TH Way
Phoenix, AZ 85050-5428
Phone (602) 571-1978

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW-10960AZMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Growing Edges LLC CurrentSince Oct 1, 2019 Accepting new patients

Locations

17235 N 75th Ave
Ste E170
Glendale, AZ 85308
Phone (602) 571-1978

18205 N 51st Ave
Ste 115
Glendale, AZ 85308
Phone (602) 548-1444

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758758400000",
    "number": "1669579603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21001 N TATUM BLVD STE 1630-190",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850504206",
            "telephone_number": "602-571-1978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22307 N 39TH WAY",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850505428",
            "telephone_number": "602-571-1978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANDROSS",
        "first_name": "WENDY",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2025-09-25",
        "certification_date": "2025-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "LCSW-10960",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "944307",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.