Individual provider Active NPI

Ian Barnes, LCSW

  • Clinical Social Worker
  • Peoria, AZ
National Provider Identifier
1780313221
Registry record updated Nov 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
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

Updated by the provider on Nov 20, 2024

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 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

IdentifierTypeStateIssuer
LCSW-18464OtherAZSTATE 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
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Network Current Accepting new patients
Southwest Network, Inc. CurrentSince Nov 7, 2024 Accepting new patients
Southwest Network, Inc. CurrentSince Nov 7, 2024 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.

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

Verify at the official NPI Registry.