Shelley Anne Fassett, LCSW
Individual provider Active NPI Clinical Social Worker · Mesa, AZ
NPI 1700103710 · NPPES record last updated Jun 4, 2018
Key facts
- NPI
- 1700103710
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- LCSW17127 (AZ)
- Practice address
- 245 N Centennial Way
Mesa, AZ 85201 - Phone
- (602) 290-0278
- NPI assigned
- Apr 29, 2010
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Anderson Psychological Associates
Practice addresses (Care Compare)
7033 E Greenway Pkwy
Suite 120
Scottsdale, AZ 85254-2075
Phone (480) 567-9771
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190820002770 | AZ | Practitioner - Clinical Social Worker | 1456689124 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCSW17127 | AZ | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arroyo Psychological Services PLLC | Current |
Accepting new patients | |
| Anderson Psychological Associates | Current |
Accepting new patients | |
| Recovia LLC | Clinical | Past | Accepting new patients |
| Healing Reins Equine Assisted Services Inc | Past | Accepting new patients | |
| Recovia LLC | Clinical | Past | Accepting new patients |
Locations
9375 E Shea Blvd
Ste 100
Scottsdale, AZ 85260
Phone (480) 720-9038
7033 E Greenway Pkwy
Ste 120
Scottsdale, AZ 85254
Phone (480) 567-9771
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCSW17127 | AZ | Yes |
Addresses
Primary practice location
245 N Centennial Way
Mesa, AZ 85201
Mailing address
245 N Centennial Way
Mesa, AZ 85201-6702
Phone (602) 290-0278
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 373998 | Medicaid | AZ |
Other names
- Shelley Anne Janser
Other providers in Mesa, AZ
- Steven L Farris
- Hannah Rose Farrow
- Lindsay M Farwick
- Farzin Dentistry PLLC
- Manoush Farzin
- Nathaniel Fastenberg
- Fatima Health LLC
- Fatima Pharmacy, LLC
- Olubadewa Fatunde
- Dwight Faught
All providers in Mesa, AZ · Clinical Social Worker in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 4, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.