Active NPI
Faridah Abdullah-Gerdes, LCSW
- Clinical Social Worker
- Scottsdale, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW-23455
- 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, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
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
| License | State | Type | Specialty |
|---|---|---|---|
| LCSW-23455 | AZ | MD | Clinical Social Worker |
| SW26410 | FL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| FKL Enterprises, LLC | Current | Accepting new patients | |
| FKL Enterprises, LLC | Past | 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.
-
dba reVIBE Mental Health
- Marriage & Family Therapist
- Scottsdale, AZ
- NPI 1346982782
-
- Diagnostic Radiology Physician
- Jacksonville, FL
- NPI 1326208695
-
- Family Medicine Physician
- Jacksonville, FL
- NPI 1487814752
-
dba reVIBE Mental Health
- Marriage & Family Therapist
- Phoenix, AZ
- NPI 1316796790
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.