Shelley Anne Fassett, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW17127 Issued in AZ

Practice address

245 N Centennial Way
Mesa, AZ 85201

Phone

(602) 290-0278

NPI assigned

Apr 29, 2010

Last updated

Jun 4, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Shelley Anne Janser Former name

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

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 AssociatesGroup PAC ID 0941515811, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Anderson Psychological Associates

  • Clinical Psychologist
  • Scottsdale, AZ
  • NPI 1154704369
  Medicare reassignment Care Compare group NPD
• Arroyo Psychological Services PLLC

  dba Arroyo Psychological Services

  • Clinical Psychologist
  • Scottsdale, AZ
  • NPI 1023718947
  Medicare reassignment NPD
• Recovia LLC

  • Addiction (Substance Use Disorder) Counselor
  • Phoenix, AZ
  • NPI 1386313864

  Clinical

  NPD (past)
• Recovia LLC

  • Addiction (Substance Use Disorder) Psychologist
  • Phoenix, AZ
  • NPI 1568139616

  Clinical

  NPD (past)
• Healing Reins Equine Assisted Services Inc

  • Occupational Therapist
  • Bend, OR
  • NPI 1316536394
  NPD (past)

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

{
    "created_epoch": "1272499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528070400000",
    "number": "1700103710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 N CENTENNIAL WAY",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852016702",
            "telephone_number": "602-290-0278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 N CENTENNIAL WAY",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "85201",
            "telephone_number": "602-290-0278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FASSETT",
        "first_name": "SHELLEY",
        "middle_name": "ANNE",
        "name_prefix": "Miss",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-29",
        "last_updated": "2018-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "LCSW17127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHELLEY",
            "last_name": "JANSER",
            "middle_name": "ANNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Steven L Farris, M.D.
• Hannah Rose Farrow
• Lindsay M Farwick, FNP
• Farzin Dentistry PLLC (Destination Dental)
• Manoush Farzin, D.M.D
• Nathaniel Fastenberg, MD
• Fatima Health LLC (Optimal Health Medical Clinic)
• Fatima Pharmacy, LLC
• Olubadewa Fatunde, MD
• Dwight Faught, DNP, RN. PMHNP-BC

• Clinical Social Worker in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Clinical Social Worker in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.