Individual provider Active NPI

Anna E Skelley, LCSW

  • Clinical Social Worker
  • Phoenix, AZ
National Provider Identifier
1891431177
Registry record updated Sep 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
23087 Issued in AZ
Practice address
1300 E Missouri Ave Ste 120
Phoenix, AZ 85014-2372
Phone
(480) 930-0390
NPI assigned
May 9, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 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-19612 AZ
Clinical Social Worker 1041C0700X 23087 AZ Primary

Addresses

Primary practice location

1300 E Missouri Ave Ste 120
Phoenix, AZ 85014-2372

Mailing address

1300 E Missouri Ave Ste 120
Phoenix, AZ 85014-2372
Phone (480) 930-0390

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

LicenseStateTypeSpecialty
LMSW-19612AZMDSocial Worker
23087AZMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Ocotillo Counseling, LLC CurrentSince Sep 8, 2025 Accepting new patients

Locations

1300 E Missouri Ave
Ste 120
Phoenix, AZ 85014
Phone (480) 930-0390

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1652054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756771200000",
    "number": "1891431177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 E MISSOURI AVE STE 120",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850142372",
            "telephone_number": "480-930-0390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 E MISSOURI AVE STE 120",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850142372",
            "telephone_number": "480-930-0390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKELLEY",
        "first_name": "ANNA",
        "middle_name": "E",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-09",
        "last_updated": "2025-09-02",
        "certification_date": "2025-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "AZ",
            "license": "LMSW-19612",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "23087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2025; 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.