Individual provider Active NPI

Denise Rae, LCSW

  • Clinical Social Worker
  • Peoria, AZ
National Provider Identifier
1912449083
Registry record updated Feb 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW-18522 Issued in AZ
Practice address
7138 W Sunnyside Dr
Peoria, AZ 85345-8915
Phone
(623) 271-7603
NPI assigned
Nov 7, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCSW-18522 AZ Primary
Social Worker 104100000X LMSW-16431 AZ

Addresses

Primary practice location

7138 W Sunnyside Dr
Peoria, AZ 85345-8915

Mailing address

7138 W Sunnyside Dr
Peoria, AZ 85345-8915
Phone (269) 420-2850

Other practice location 1

1952 E Lind Rd
Tucson, AZ 85719-2343
Phone (520) 612-0466

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161128002708 AZ Practitioner - Clinical Social Worker 0749569234 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Thrive Counseling LLCGroup PAC ID 0749458420, 1,187 clinicians
BMSC Az LLCGroup PAC ID 4385929173, 130 clinicians

Practice addresses (Care Compare)

4801 S Lakeshore Dr
Suite 207
Tempe, AZ 85282-7157
Phone (855) 284-7483

7370 E Gold Dust Ave
Scottsdale, AZ 85258-1025
Phone (855) 241-7160

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LMSW-16431AZMDSocial Worker
LCSW-18522AZMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Counseling LLC CurrentSince Apr 30, 2024 Accepting new patients
Remind Health LLC CurrentSince Feb 5, 2024 Accepting new patients
BMSC Az LLC Clinical CurrentSince Aug 10, 2021 Accepting new patients

Locations

7370 E Gold Dust Ave
Scottsdale, AZ 85258
Phone (480) 609-5115

4801 S Lakeshore Dr
Ste 207
Tempe, AZ 85282
Phone (623) 323-8962

10204 Bode St
Ste C
Plainfield, IL 60585
Phone (630) 844-7077

1000 Jefferson St
Ste 2C
Lynchburg, VA 24504
Phone (434) 528-3263

Organizations & group practices 3

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": "1478476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707004800000",
    "number": "1912449083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7138 W SUNNYSIDE DR",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853458915",
            "telephone_number": "269-420-2850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7138 W SUNNYSIDE DR",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853458915",
            "telephone_number": "623-271-7603"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1952 E Lind Rd",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857192343",
            "country_code": "US",
            "telephone_number": "520-612-0466",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAE",
        "first_name": "DENISE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-07",
        "last_updated": "2024-02-04",
        "certification_date": "2021-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "LCSW-18522",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "AZ",
            "license": "LMSW-16431",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, AZ

Sources for this page

Verify at the official NPI Registry.