Individual provider Active NPI

Judith Howe Steenblik, LCSW

  • Clinical Social Worker
  • Mesa, AZ
National Provider Identifier
1700029923
Registry record updated Apr 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW 1321 Issued in AZ
Practice address
1150 N Country Club Dr
Suite 10
Mesa, AZ 85201-2537
Phone
(480) 962-8883
NPI assigned
Apr 17, 2009
Last updated
Apr 17, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 17, 2009

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 1321 AZ Primary

Addresses

Primary practice location

1150 N Country Club Dr
Suite 10
Mesa, AZ 85201-2537

Mailing address

5501 E Camelhill Rd
Phoenix, AZ 85018-1953
Phone (602) 952-9026

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LCSW 1321AZMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1239926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1239926400000",
    "number": "1700029923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5501 E CAMELHILL RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850181953",
            "telephone_number": "602-952-9026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 N COUNTRY CLUB DR",
            "address_2": "SUITE 10",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852012537",
            "telephone_number": "480-962-8883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEENBLIK",
        "first_name": "JUDITH",
        "middle_name": "HOWE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-17",
        "last_updated": "2009-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "LCSW 1321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2009; 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.