Active NPI
Ian Barnes, LCSW
- Clinical Social Worker
- Peoria, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 9051 W Kelton LN Ste 13
Peoria, AZ 85382-3533 - Phone
- (623) 815-5700
- Fax
- (623) 815-5759
- NPI assigned
- Jun 9, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
9051 W Kelton LN Ste 13
Peoria, AZ 85382-3533
Mailing address
2700 N Central Ave Ste 1050
Phoenix, AZ 85004-1217
Phone (602) 376-3353
Other practice location 1
618 S Madison Dr
Tempe, AZ 85281-7248
Phone (480) 784-1514
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LCSW-18464 | Other | AZ | STATE LICENSE |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southwest Network | Current | Accepting new patients | |
| Southwest Network, Inc. | Current | Accepting new patients | |
| Southwest Network, Inc. | Current | Accepting new patients |
Locations
1465 W Chandler Blvd
Bldg A
Chandler, AZ 85224
Phone (480) 786-8200
3140 N Arizona Ave
Ste 113
Chandler, AZ 85225
Phone (480) 497-4040
9051 W Kelton Ln
Ste 13
Peoria, AZ 85382
Phone (623) 815-5700
2700 N Central Ave
Ste 1050
Phoenix, AZ 85004
Phone (602) 266-8402
2444 E University Dr
Ste 150
Phoenix, AZ 85034
Phone (602) 304-0014
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.
-
- Community/Behavioral Health Agency
- Phoenix, AZ
- NPI 1104856004
-
- Community/Behavioral Health Agency
- Phoenix, AZ
- NPI 1306097886
-
- Community/Behavioral Health Agency
- Chandler, AZ
- NPI 1487981338
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654732800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732060800000",
"number": "1780313221",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2700 N CENTRAL AVE STE 1050",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850041217",
"telephone_number": "602-376-3353"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9051 W KELTON LN STE 13",
"city": "PEORIA",
"state": "AZ",
"postal_code": "853823533",
"telephone_number": "623-815-5700",
"fax_number": "623-815-5759"
}
],
"practiceLocations": [
{
"address_1": "618 S Madison Dr",
"address_purpose": "LOCATION",
"city": "Tempe",
"state": "AZ",
"postal_code": "852817248",
"country_code": "US",
"telephone_number": "480-784-1514",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BARNES",
"first_name": "IAN",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-06-09",
"last_updated": "2024-11-20",
"certification_date": "2024-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "LCSW-18464",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Peoria, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.