Individual provider Active NPI

Jasmine Lynch, LCSW

  • Clinical Social Worker
  • Sun City, AZ
National Provider Identifier
1851023238
Registry record updated Aug 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW-23210 Issued in AZ
Practice address
13203 N 103Rd Ave
Sun City, AZ 85351-3028
Phone
(623) 385-9817
NPI assigned
Jun 25, 2022
Last updated
Aug 7, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X LMSW-20362 AZ
Clinical Social Worker 1041C0700X LCSW-23210 AZ Primary

Addresses

Primary practice location

13203 N 103Rd Ave
Sun City, AZ 85351-3028

Mailing address

12427 W Marlette Ave
Litchfield Park, AZ 85340-5254
Phone (623) 385-9817

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
I20260227001751 AZ Practitioner - Clinical Social Worker 2860973781 Reassigns benefits to 1 organization

Care Compare profile

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

Practice addresses (Care Compare)

3830 E Lakewood Pkwy
Suite 1017
Phoenix, AZ 85048-0304

8551 W Cherry Hills Dr
Peoria, AZ 85345-8172

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LMSW-20362AZMDSocial Worker
LCSW-23210AZMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
The Lighthouse Pathway Clinical CurrentSince Oct 5, 2025 Accepting new patients
The Love Lab PLLC CurrentSince Jan 1, 2026 Accepting new patients
Denova Collaborative Health, LLC PastSince Dec 1, 2023 Accepting new patients
Denova Collaborative Health, LLC PastSince Dec 1, 2023 Accepting new patients

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": "1656115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754524800000",
    "number": "1851023238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12427 W MARLETTE AVE",
            "city": "LITCHFIELD PARK",
            "state": "AZ",
            "postal_code": "853405254",
            "telephone_number": "623-385-9817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13203 N 103RD AVE",
            "city": "SUN CITY",
            "state": "AZ",
            "postal_code": "853513028",
            "telephone_number": "623-385-9817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYNCH",
        "first_name": "JASMINE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-25",
        "last_updated": "2025-08-07",
        "certification_date": "2025-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "AZ",
            "license": "LMSW-20362",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "LCSW-23210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sun City, AZ

Sources for this page

Verify at the official NPI Registry.