Misa Yanagisawa, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW13623 Issued in AZ

Practice address

3250 W Lower Buckeye Rd
Phoenix, AZ 85009-6729

Phone

(602) 876-3813

NPI assigned

Nov 29, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Willow Stream LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Tempe, AZ
  • NPI 1073352332
  NPD Authorized official

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

{
    "created_epoch": "1196294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417737600000",
    "number": "1851573158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3250 W LOWER BUCKEYE RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850096729",
            "telephone_number": "602-876-6802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3250 W LOWER BUCKEYE RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850096729",
            "telephone_number": "602-876-3813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YANAGISAWA",
        "first_name": "MISA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-29",
        "last_updated": "2014-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "LCSW13623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fe Lardizabal Yambao, RN
• Primitivo Aniciete Yambao, RN
• Mallory Yan
• Yana House
• Alyssa Yanagihara
• Vishnu Rohit Yanamaladoddi
• Deborah Yancer, LISAC
• Kristina Yancey
• Richard Brandon Yancey, O.T.
• Margaret L Yancy, NP

• Clinical Social Worker in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Clinical Social Worker in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.