Individual provider Active NPI

Deborah Lynn Mulgrew, LMSW

  • Social Worker
  • Queen Creek, AZ
National Provider Identifier
1679234777
Registry record updated Jan 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
LMSW-18800 Issued in AZ
Practice address
21321 E Ocotillo Rd Ste 113
Queen Creek, AZ 85142-5994
Phone
(480) 493-5799
Fax
(888) 975-3287
NPI assigned
Jan 1, 2022
Last updated
Jan 1, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 1, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X LMSW-18800 AZ Primary

Addresses

Primary practice location

21321 E Ocotillo Rd Ste 113
Queen Creek, AZ 85142-5994

Mailing address

5132 E Emelita Cir
Mesa, AZ 85206-2881
Phone (480) 567-2728

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
I20250321002150 AZ Practitioner - Clinical Social Worker 8820510548 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2002
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Spectrum Psychology and Wellness LLCGroup PAC ID 4981827763, 3 clinicians

Practice addresses (Care Compare)

6640 E Baseline Rd
Suite 102
Mesa, AZ 85206-4437
Phone (480) 621-7257

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LMSW-18800AZMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Spectrum Psychology and Wellness, LLC CurrentSince Mar 15, 2025 Accepting new patients
Spectrum Psychology and Wellness, LLC CurrentSince Mar 15, 2025 Accepting new patients

Locations

1772 E Boston St
Ste 105
Gilbert, AZ 85295
Phone (480) 621-7257

6640 E Baseline Rd
Ste 102
Mesa, AZ 85206
Phone (480) 621-7257

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": "1640995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640995200000",
    "number": "1679234777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5132 E EMELITA CIR",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852062881",
            "telephone_number": "480-567-2728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21321 E OCOTILLO RD STE 113",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851425994",
            "telephone_number": "480-493-5799",
            "fax_number": "888-975-3287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULGREW",
        "first_name": "DEBORAH",
        "middle_name": "LYNN",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-01",
        "last_updated": "2022-01-01",
        "certification_date": "2022-01-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "AZ",
            "license": "LMSW-18800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Queen Creek, AZ

Sources for this page

Verify at the official NPI Registry.