Individual provider Active NPI

Jessica Lorraine Saucedo, LCSW

  • Clinical Social Worker
  • Chino Valley, AZ
National Provider Identifier
1760820427
Registry record updated Mar 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
86703 Issued in CA
Practice address
25 Granite Vista Dr
Chino Valley, AZ 86323-6213
Phone
(562) 644-5402
NPI assigned
Jun 4, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 86703 CA Primary
Clinical Social Worker 1041C0700X 21001 AZ
Social Worker 104100000X ASW64926 CA

Addresses

Primary practice location

25 Granite Vista Dr
Chino Valley, AZ 86323-6213

Mailing address

25 Granite Vista Dr
Chino Valley, AZ 86323-6213
Phone (562) 644-5402

Other names 1

  • Jessica Lorraine Sanchez Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20230615001837 AZ Practitioner - Clinical Social Worker 5890153332 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Raymond W Lemberg PHD PCGroup PAC ID 3375578917, 26 clinicians

Practice addresses (Care Compare)

2414 W Old Paint TRL
Phoenix, AZ 85086-6608

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ASW64926CAMDSocial Worker
21001AZMDClinical Social Worker
86703CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Raymond W Lemberg PHD PC Clinical CurrentSince Mar 9, 2023 Accepting new patients
Arizona Therapy Associates, LLC PastSince Aug 1, 2021 Accepting new patients

Locations

930 N Switzer Canyon Dr
Ste 103
Flagstaff, AZ 86001
Phone (844) 385-3747

20325 N 51st Ave
Ste 168
Glendale, AZ 85308
Phone (480) 801-2985

17235 N 75th Ave
Ste F135
Glendale, AZ 85308
Phone (480) 801-2985

2500 S Power Rd
Ste 103
Mesa, AZ 85209
Phone (844) 385-3747

1000 Ainsworth Dr
Ste C320
Prescott, AZ 86305
Phone (844) 385-3747

1000 Ainsworth Dr
Prescott, AZ 86305
Phone (928) 776-7885

2820 N Glassford Hill Rd
Ste 108
Prescott Valley, AZ 86314
Phone (844) 385-3747

Organizations & group practices 2

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": "1370304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773273600000",
    "number": "1760820427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 GRANITE VISTA DR",
            "city": "CHINO VALLEY",
            "state": "AZ",
            "postal_code": "863236213",
            "telephone_number": "562-644-5402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 GRANITE VISTA DR",
            "city": "CHINO VALLEY",
            "state": "AZ",
            "postal_code": "863236213",
            "telephone_number": "562-644-5402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAUCEDO",
        "first_name": "JESSICA",
        "middle_name": "LORRAINE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-04",
        "last_updated": "2026-03-12",
        "certification_date": "2026-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "86703",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "21001",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "ASW64926",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "SANCHEZ",
            "middle_name": "LORRAINE",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chino Valley, AZ

Sources for this page

Verify at the official NPI Registry.