Active NPI
Viridiana Zendejas, LCSW
- Clinical Social Worker
- Avondale, AZ
National Provider Identifier
1700242450
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW-17298
- Practice address
- 401 W Western Ave Unit 458
Avondale, AZ 85323-4419 - Phone
- (602) 575-6335
- NPI assigned
- Jan 11, 2016
- Last updated
- Jul 29, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 9433420-3502 | UT | |
| Clinical Social Worker | 1041C0700X | 9433420-3501 | UT | |
| Clinical Social Worker | 1041C0700X | LCSW-17298 | AZ | Primary |
Addresses
Primary practice location
401 W Western Ave Unit 458
Avondale, AZ 85323-4419
Mailing address
401 W Western Ave Unit 458
Avondale, AZ 85323-4419
Phone (602) 575-6335
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
- Opted out of Medicare
- Yes, effective Apr 1, 2024 through Apr 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCSW-17298 | AZ | MD | Clinical Social Worker |
| 9433420-3502 | UT | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1452470400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722211200000",
"number": "1700242450",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 W WESTERN AVE UNIT 458",
"city": "AVONDALE",
"state": "AZ",
"postal_code": "853234419",
"telephone_number": "602-575-6335"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 W WESTERN AVE UNIT 458",
"city": "AVONDALE",
"state": "AZ",
"postal_code": "853234419",
"telephone_number": "602-575-6335"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZENDEJAS",
"first_name": "VIRIDIANA",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-01-11",
"last_updated": "2024-07-29",
"certification_date": "2024-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "UT",
"license": "9433420-3502",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "UT",
"license": "9433420-3501",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "AZ",
"license": "LCSW-17298",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Avondale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2024; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.