Active NPI
Mayte Idelle Giubardo, LCSW
- Clinical Social Worker
- Bullhead City, AZ
National Provider Identifier
1881656486
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW11855
- Practice address
- 1145 Marina Blvd
Mohave Mental Health Clinic Inc
Bullhead City, AZ 86442 - Phone
- (928) 758-5905
- Fax
- (928) 757-3256
- NPI assigned
- Apr 6, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCSW11855 | AZ | Primary |
Addresses
Primary practice location
1145 Marina Blvd
Mohave Mental Health Clinic Inc
Bullhead City, AZ 86442
Mailing address
1743 Sycamore Ave
Mohave Mental Health Clinic Inc
Kingman, AZ 86409
Phone (928) 757-8111
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCSW11855 | AZ | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144281600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1881656486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1743 SYCAMORE AVE",
"address_2": "MOHAVE MENTAL HEALTH CLINIC INC",
"city": "KINGMAN",
"state": "AZ",
"postal_code": "86409",
"telephone_number": "928-757-8111",
"fax_number": "928-757-3256"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1145 MARINA BLVD",
"address_2": "MOHAVE MENTAL HEALTH CLINIC INC",
"city": "BULLHEAD CITY",
"state": "AZ",
"postal_code": "86442",
"telephone_number": "928-758-5905",
"fax_number": "928-757-3256"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIUBARDO",
"first_name": "MAYTE",
"middle_name": "IDELLE",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-06",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "AZ",
"license": "LCSW11855",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bullhead City, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.