Individual provider Active NPI

Lakshmi Rebecca Nolletti, LCSW, LISAC, SAP

  • Clinical Social Worker
  • Casa Grande, AZ
National Provider Identifier
1780752949
Registry record updated May 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW-11126 Issued in AZ
Practice address
PO Box 13032
Casa Grande, AZ 85130-1019
Phone
(602) 550-6240
NPI assigned
Dec 4, 2006
Last updated
May 28, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X ICADC 18225 AZ
Addiction (Substance Use Disorder) Counselor 101YA0400X ABCAC 1870 AZ
Addiction (Substance Use Disorder) Counselor 101YA0400X LISAC-10865 AZ
Professional Counselor 101YP2500X SAP AZ
Clinical Social Worker 1041C0700X LCSW-11126 AZ Primary

Addresses

Primary practice location

PO Box 13032
Casa Grande, AZ 85130-1019

Mailing address

PO Box 13032
Casa Grande, AZ 85130-1019
Phone (602) 550-6240

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
I20100428000793 AZ Practitioner - Clinical Social Worker 2668509308 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ABCAC 1870AZMDAddiction (Substance Use Disorder) Counselor
ICADC 18225AZMDAddiction (Substance Use Disorder) Counselor
LISAC-10865AZMDAddiction (Substance Use Disorder) Counselor
SAPAZMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Behavioral Health Center PC Addiction (Substance Use Disorder) CurrentSince Jan 25, 2010 Accepting new patients

Locations

2600 N 44th St
Ste B104
Phoenix, AZ 85008
Phone (602) 343-8232

4250 E Camelback Rd
Ste K300
Phoenix, AZ 85018
Phone (602) 343-8232

Organizations & group practices 1

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

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": "1779926400000",
    "number": "1780752949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13032",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851301019",
            "telephone_number": "602-550-6240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 13032",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851301019",
            "telephone_number": "602-550-6240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOLLETTI",
        "first_name": "LAKSHMI",
        "middle_name": "REBECCA",
        "name_prefix": "Ms.",
        "credential": "LCSW, LISAC, SAP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-04",
        "last_updated": "2026-05-28",
        "certification_date": "2026-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "AZ",
            "license": "ICADC 18225",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "AZ",
            "license": "ABCAC 1870",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "AZ",
            "license": "LISAC-10865",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "SAP",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "LCSW-11126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Casa Grande, AZ

Sources for this page

Verify at the official NPI Registry.