Marcy Mevorach, LCSW, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

MARCY MEVORACH, LCSW, LLC

Practice address

8687 E Via de Ventura Ste 308
Scottsdale, AZ 85258-3349

Phone

(480) 707-2885

Fax

(480) 563-7703

NPI assigned

Jan 10, 2018

Organization subpart

No

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

Authorized official

Name

Marcy Mevorach, LCSW

Title

Sole Member

Phone

(480) 707-2885

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

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

{
    "created_epoch": "1515542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515542400000",
    "number": "1720595879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8687 E VIA DE VENTURA STE 308",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852583349",
            "telephone_number": "480-707-2885",
            "fax_number": "480-563-7703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8687 E VIA DE VENTURA STE 308",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852583349",
            "telephone_number": "480-707-2885",
            "fax_number": "480-563-7703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARCY MEVORACH, LCSW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-10",
        "last_updated": "2018-01-10",
        "status": "A",
        "authorized_official_last_name": "MEVORACH",
        "authorized_official_first_name": "MARCY",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "480-707-2885",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "403418",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Francois Marcotte, M.D.
• Amanda Marcum, MT-BC
• Barry Marcus, M.D.
• Samantha Marcus, LMSW
• Christopher K. Marcuzzo, M.D.
• Donell Marecheau, APRN
• Eleanor Concepcion Mariano, M.D.
• Marias Health Services LLC
• Coleen K Marias, MD
• Elizabeth M. Marietti, CSW

• Clinical Social Worker in Scottsdale, AZ
• Providers in Scottsdale, 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 Jan 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.