Jennifer Vandegriff, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW-18335 Issued in AZ

Practice address

1220 S Alma School Rd Ste 103
Mesa, AZ 85210-2078

Phone

(480) 382-9460

NPI assigned

Nov 9, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Cactus Flower Healing LLC

  • Clinical Social Worker
  • Mesa, AZ
  • NPI 1497379200
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1573257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662940800000",
    "number": "1821633215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 S ALMA SCHOOL RD STE 103",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852102078",
            "telephone_number": "480-382-9460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 S ALMA SCHOOL RD STE 103",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852102078",
            "telephone_number": "480-382-9460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDEGRIFF",
        "first_name": "JENNIFER",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-09",
        "last_updated": "2022-09-12",
        "certification_date": "2022-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "AZ",
            "license": "LMSW-15833",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "LCSW-18335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://cactusflowerhealing.clientsecure.me/",
            "affiliation": "Y",
            "affiliationName": "Cactus Flower Healing LLC",
            "address_1": "1220 S Alma School Rd Ste 103",
            "city": "Mesa",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "852102078",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Alisha Van Leuven, LMT
• Dana Van Milligan Kim
• Amy Chislock Van Ness
• Jonathan Robert Vance, D.P.T.
• Olin N. Vance, D.O.
• Jennifer Lynn Vandehey, MS, OTR/L
• Cynthea Vanden, FNP-C
• Alethea Lynn Vandenakker, CCC-SLP
• Steven Paul Vandenberg, ED.S.
• Cristin Vandenburgh

• Clinical Social Worker in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Clinical Social Worker in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.