Senior Counseling Services of Arizona LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

13046 Issued in AZ

Legal business name

SENIOR COUNSELING SERVICES OF ARIZONA LLC

Practice address

4111 E Valley Auto Dr Ste 201
Mesa, AZ 85206-4609

Phone

(480) 745-5552

NPI assigned

Aug 22, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Alan Nesbit, LCSW

Title

Owner/Clinical Director

Phone

(480) 745-5552

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1408665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412035200000",
    "number": "1902206246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4111 E VALLEY AUTO DR STE 201",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852064609",
            "telephone_number": "480-745-5552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4111 E VALLEY AUTO DR STE 201",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852064609",
            "telephone_number": "480-745-5552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR COUNSELING SERVICES OF ARIZONA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-22",
        "last_updated": "2014-09-30",
        "status": "A",
        "authorized_official_last_name": "NESBIT",
        "authorized_official_first_name": "ALAN",
        "authorized_official_title_or_position": "OWNER/CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "480-745-5552",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "13046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Mesa, AZ
• Providers in Mesa, 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 Sep 30, 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.