Individual provider Active NPI

Rosemarie Higgins, LCSW

  • Clinical Social Worker
  • Peoria, AZ
National Provider Identifier
1790899276
Registry record updated Aug 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW10497 Issued in AZ
Practice address
13460 N 94TH Dr Ste M1
Peoria, AZ 85381-4247
Phone
(623) 974-3333
Fax
(623) 974-3390
NPI assigned
Aug 19, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 2023

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 LCSW10497 AZ Primary

Addresses

Primary practice location

13460 N 94TH Dr Ste M1
Peoria, AZ 85381-4247

Mailing address

13460 N 94TH Dr Ste M1
Peoria, AZ 85381-4247
Phone (623) 974-3333

Other identifiers 1

IdentifierTypeStateIssuer
757239MedicaidAZ

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
I20040218000377 AZ Practitioner - Clinical Social Worker 2668367798 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW10497AZMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Desert Sage Health PLLC CurrentSince Nov 27, 2018 Accepting new patients
Sonoran Life Solutions, Inc. CurrentSince Apr 10, 2023 Accepting new patients
Marcann Mental Health Services, PLLC CurrentSince Nov 1, 2024 Accepting new patients
West Valley Psychological Services, LLC Past Accepting new patients

Locations

2620 N 140th Ave
#101
Goodyear, AZ 85395
Phone (623) 536-7956

13460 N 94th Dr
Ste M1
Peoria, AZ 85381
Phone (623) 974-3333

3815 E Bell Rd
Ste 1500
Phoenix, AZ 85032
Phone (602) 494-5015

4045 E Bell Rd
Ste 139
Phoenix, AZ 85032
Phone (602) 824-9309

8700 E Vista Bonita Dr
Ste 228
Scottsdale, AZ 85255
Phone (623) 974-3333

Organizations & group practices 4

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": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691884800000",
    "number": "1790899276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13460 N 94TH DR STE M1",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853814247",
            "telephone_number": "623-974-3333",
            "fax_number": "480-302-7884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13460 N 94TH DR STE M1",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853814247",
            "telephone_number": "623-974-3333",
            "fax_number": "623-974-3390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIGGINS",
        "first_name": "ROSEMARIE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-19",
        "last_updated": "2023-08-13",
        "certification_date": "2023-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "LCSW10497",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "757239",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, AZ

Sources for this page

Verify at the official NPI Registry.