Individual provider Active NPI

Sophie Shaich, LMSW

  • Social Worker
  • Avondale, AZ
National Provider Identifier
1841916467
Registry record updated Oct 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
LMSW-20749 Issued in AZ
Practice address
235 W Western Ave
Avondale, AZ 85323-1848
Phone
(602) 230-7373
Fax
(602) 230-3086
NPI assigned
Oct 14, 2022
Last updated
Oct 14, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X LMSW-20749 AZ Primary

Addresses

Primary practice location

235 W Western Ave
Avondale, AZ 85323-1848

Mailing address

3101 N Central Ave Ste 500
Phoenix, AZ 85012-2639
Phone (602) 230-7373

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
I20251119000487 AZ Practitioner - Clinical Social Worker 0941791842 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4747 N 7TH St
Suite 100
Phoenix, AZ 85014-3650

4747 N 7TH St
Suite 100
Phoenix, AZ 85014-3654

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LMSW-20749AZMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Jewish Family & Children's Service Current Accepting new patients
Jewish Family & Children's Service CurrentSince Oct 1, 2025 Accepting new patients
Jewish Family & Children's Service CurrentSince Oct 1, 2025 Accepting new patients

Locations

2033 N 7th St
Phoenix, AZ 85006
Phone (602) 257-9314

3001 N 33rd Ave
Phoenix, AZ 85017
Phone (602) 353-0703

4747 N 7th St
Ste 100
Phoenix, AZ 85014
Phone (602) 279-7655

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: sophie.shaich.p1@direct.jfcsaz.nextgenshare.com

Organizations & group practices 3

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": "1665705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665705600000",
    "number": "1841916467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3101 N CENTRAL AVE STE 500",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850122639",
            "telephone_number": "602-230-7373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 W WESTERN AVE",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853231848",
            "telephone_number": "602-230-7373",
            "fax_number": "602-230-3086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAICH",
        "first_name": "SOPHIE",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-14",
        "last_updated": "2022-10-14",
        "certification_date": "2022-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "AZ",
            "license": "LMSW-20749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Avondale, AZ

Sources for this page

Verify at the official NPI Registry.