Individual provider Active NPI

Jennifer Lee Grimes

  • Clinical Social Worker
  • Scottsdale, AZ
National Provider Identifier
1679215792
Registry record updated Mar 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW-22505 Issued in AZ
Practice address
6125 E Indian School Rd Ste 1005
Scottsdale, AZ 85251-5469
Phone
(480) 877-9284
NPI assigned
Apr 9, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 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 LCSW-22505 AZ Primary

Addresses

Primary practice location

6125 E Indian School Rd Ste 1005
Scottsdale, AZ 85251-5469

Mailing address

15381 W Wethersfield Rd
Surprise, AZ 85379-9179
Phone (602) 730-4002

Other practice location 1

15381 W Wethersfield Rd
Surprise, AZ 85379-9179
Phone (602) 730-4002

Other identifiers 1

IdentifierTypeStateIssuer
18805OtherAZLMSW

Other names 1

  • Jennifer Lee Shokranifar Former name

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LCSW-22505AZMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Evolvedmd, Inc. CurrentSince May 28, 2023 Accepting new patients

Locations

6125 E Indian School Rd
Ste 1005
Scottsdale, AZ 85251
Phone (480) 542-0123

Organizations & group practices 1

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": "1649462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774137600000",
    "number": "1679215792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15381 W WETHERSFIELD RD",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853799179",
            "telephone_number": "602-730-4002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6125 E INDIAN SCHOOL RD STE 1005",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852515469",
            "telephone_number": "480-877-9284"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15381 W Wethersfield Rd",
            "address_purpose": "LOCATION",
            "city": "Surprise",
            "state": "AZ",
            "postal_code": "853799179",
            "country_code": "US",
            "telephone_number": "602-730-4002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRIMES",
        "first_name": "JENNIFER",
        "middle_name": "LEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-09",
        "last_updated": "2026-03-22",
        "certification_date": "2026-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "LCSW-22505",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LMSW",
            "identifier": "18805",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "SHOKRANIFAR",
            "middle_name": "LEE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.