Individual provider Active NPI

Iliamari Vazquez Houston, LCSW

  • Clinical Social Worker
  • Tempe, AZ
National Provider Identifier
1821738634
Registry record updated Jan 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
4500 S Lakeshore Dr Ste 415
Tempe, AZ 85282-7056
Phone
(480) 234-9256
NPI assigned
Mar 30, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X AZ Primary

Addresses

Primary practice location

4500 S Lakeshore Dr Ste 415
Tempe, AZ 85282-7056

Mailing address

4500 S Lakeshore Dr Ste 415
Tempe, AZ 85282-7056
Phone (480) 234-9256

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Previously, effective Sep 9, 2024 through Sep 9, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
With an Open Heart, LLC. Clinical Current Accepting new patients

Locations

4500 S Lakeshore Dr
Ste 415
Tempe, AZ 85282
Phone (480) 234-9256

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1648598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769126400000",
    "number": "1821738634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 S LAKESHORE DR STE 415",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852827056",
            "telephone_number": "480-234-9256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 S LAKESHORE DR STE 415",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852827056",
            "telephone_number": "480-234-9256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOUSTON",
        "first_name": "ILIAMARI",
        "middle_name": "VAZQUEZ",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-30",
        "last_updated": "2026-01-23",
        "certification_date": "2026-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

Verify at the official NPI Registry.