Active NPI
Marcy Mevorach, LCSW
- Clinical Social Worker
- Scottsdale, AZ
National Provider Identifier
1851583850
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 12488
- Practice address
- 8687 E Via de Ventura Ste 308
Scottsdale, AZ 85258-3349 - Phone
- (480) 707-2885
- NPI assigned
- Aug 14, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 13047 | AZ | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 7796 | NY | |
| Clinical Social Worker | 1041C0700X | 069203-1 | NY | |
| School Social Worker | 1041S0200X | 2217623 | NY | |
| Clinical Social Worker | 1041C0700X | 12488 | AZ | Primary |
Addresses
Primary practice location
8687 E Via de Ventura Ste 308
Scottsdale, AZ 85258-3349
Mailing address
8687 E Via de Ventura Ste 308
Scottsdale, AZ 85258-3349
Phone (480) 707-2885
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Z129428 | Other | AZ | MEDICARE PROVIDER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13047 | AZ | MD | Addiction (Substance Use Disorder) Counselor |
| 7796 | NY | MD | Addiction (Substance Use Disorder) Counselor |
| 12488 | AZ | MD | Clinical Social Worker |
| 069203-1 | NY | MD | Clinical Social Worker |
| 2217623 | NY | MD | School Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187049600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1653696000000",
"number": "1851583850",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8687 E VIA DE VENTURA STE 308",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852583349",
"telephone_number": "480-707-2885"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8687 E VIA DE VENTURA STE 308",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852583349",
"telephone_number": "480-707-2885"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEVORACH",
"first_name": "MARCY",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-08-14",
"last_updated": "2022-05-28",
"certification_date": "2022-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "AZ",
"license": "13047",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NY",
"license": "7796",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "069203-1",
"primary": false
},
{
"code": "1041S0200X",
"taxonomy_group": "",
"desc": "Social Worker, School",
"state": "NY",
"license": "2217623",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "AZ",
"license": "12488",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PROVIDER",
"identifier": "Z129428",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}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 May 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.