Individual provider Active NPI

Faridah Abdullah-Gerdes, LCSW

  • Clinical Social Worker
  • Scottsdale, AZ
National Provider Identifier
1841912813
Registry record updated Apr 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW-23455 Issued in AZ
Practice address
8700 E Via de Ventura Ste 280
Scottsdale, AZ 85258-4541
Phone
(480) 336-2152
NPI assigned
Sep 15, 2022
Last updated
Apr 27, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SW26410 FL
Clinical Social Worker 1041C0700X LCSW-23455 AZ Primary

Addresses

Primary practice location

8700 E Via de Ventura Ste 280
Scottsdale, AZ 85258-4541

Mailing address

8700 E Via de Ventura Ste 280
Scottsdale, AZ 85258-4541

Other practice location 1

1255 Lila St
Jacksonville, FL 32208-3550
Phone (904) 383-1001

Other names 1

  • Faridah Abdullah Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20260204001673 AZ Practitioner - Clinical Social Worker 3274011861 Reassigns benefits to 1 organization
I20260530000589 FL Practitioner - Clinical Social Worker 3274011861 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

8700 E Via de Ventura
Suite 280
Scottsdale, AZ 85258-4541

PO Box
Suite 44008
Jacksonville, FL 32231

PO Box
Suite 44008
Jacksonville, FL 32231-4008

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW-23455AZMDClinical Social Worker
SW26410FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
FKL Enterprises, LLC CurrentSince Dec 22, 2025 Accepting new patients
FKL Enterprises, LLC PastSince May 1, 2024 Accepting new patients

Locations

3377 S Price Rd
Ste 105
Chandler, AZ 85248
Phone (480) 674-9220

2222 W Pinnacle Peak Rd
Ste 220
Phoenix, AZ 85027
Phone (480) 674-9220

4646 E Greenway Rd
Ste 100
Phoenix, AZ 85032
Phone (480) 674-9220

8700 E Via de Ventura
Ste 280
Scottsdale, AZ 85258
Phone (480) 210-7266

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, 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": "1663200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777248000000",
    "number": "1841912813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8700 E VIA DE VENTURA STE 280",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852584541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8700 E VIA DE VENTURA STE 280",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852584541",
            "telephone_number": "480-336-2152"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1255 Lila St",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322083550",
            "country_code": "US",
            "telephone_number": "904-383-1001",
            "fax_number": "904-383-1991",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ABDULLAH-GERDES",
        "first_name": "FARIDAH",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-15",
        "last_updated": "2026-04-27",
        "certification_date": "2026-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW26410",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "LCSW-23455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FARIDAH",
            "last_name": "ABDULLAH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.