Individual provider Active NPI

Rosemary Case, LCSW

  • Clinical Social Worker
  • Mesa, AZ
National Provider Identifier
1710055934
Registry record updated Dec 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW-10346 Issued in AZ
Practice address
1424 S Stapley Dr
Mesa, AZ 85204-5877
Phone
(480) 982-2356
Fax
(480) 982-2449
NPI assigned
Dec 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 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-10346 AZ Primary

Addresses

Primary practice location

1424 S Stapley Dr
Mesa, AZ 85204-5877

Mailing address

288 N Ironwood Dr Ste 110
Apache Junction, AZ 85120-3830
Phone (480) 982-2356

Other identifiers 1

IdentifierTypeStateIssuer
988389MedicaidAZ

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW-10346AZMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Horizon Health and Wellness, Inc. Past Accepting new patients
Terros Inc Past Accepting new patients
San Tan Counseling LLC Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260230400000",
    "number": "1710055934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "288 N IRONWOOD DR STE 110",
            "city": "APACHE JUNCTION",
            "state": "AZ",
            "postal_code": "851203830",
            "telephone_number": "480-982-2356",
            "fax_number": "480-982-2449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1424 S STAPLEY DR",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852045877",
            "telephone_number": "480-982-2356",
            "fax_number": "480-982-2449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASE",
        "first_name": "ROSEMARY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-04",
        "last_updated": "2009-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "LCSW-10346",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "988389",
            "state": "AZ"
        }
    ],
    "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 Dec 8, 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.