Jacquelyn Awosika
Individual provider Active NPI Case Manager/Care Coordinator · Maricopa, AZ
NPI 1881292068 · NPPES record last updated Oct 11, 2020
Key facts
- NPI
- 1881292068
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 20148 N Donithan Way
Maricopa, AZ 85138-2428 - Phone
- (480) 494-1419
- Fax
- (800) 758-1538
- NPI assigned
- Oct 11, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Desert Angels Behavioral Health Services, LLC | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Yes |
Addresses
Primary practice location
20148 N Donithan Way
Maricopa, AZ 85138-2428
Mailing address
25210 S Wyoming Ave
Sun Lakes, AZ 85248-6408
Phone (480) 494-1419
Other practice location 1
19503 N Sandalwood Dr
Maricopa, AZ 85138-3258
Phone (480) 494-1419
Other providers in Maricopa, AZ
- Assurance Behavioral Health
- Assurance Resources LLC
- Atos Dermatopathology PLLC
- Carol Atugonza
- Atwood Behavior Analysis Services, LLC
- Nimatu Awudu
- Axel Behavioral Health System LLC
- Sultan Y Ayoub
- Krystle Aguirre Ayres
- Az Chiro & Acupuncture LLC
All providers in Maricopa, AZ · Case Manager/Care Coordinator in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 11, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.