Active NPI
Lady Esther Agyepong, LCSW
- Clinical Social Worker
- Chandler, AZ
National Provider Identifier
1932734415
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 16546
- Practice address
- 625 N Hamilton St Unit 53
Chandler, AZ 85225-3996 - Phone
- (480) 310-6464
- NPI assigned
- Mar 5, 2020
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 16546 | AZ | |
| Mental Health Counselor | 101YM0800X | 16546 | AZ | |
| Clinical Social Worker | 1041C0700X | 16546 | AZ | Primary |
Addresses
Primary practice location
625 N Hamilton St Unit 53
Chandler, AZ 85225-3996
Mailing address
625 N Hamilton St Unit 53
Chandler, AZ 85225-3996
Phone (480) 310-6464
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16546 | AZ | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Excel Behavioral Health Services LLC | Current | Accepting new patients | |
| Excel Social Services Inc | Mental Health | Current | Accepting new patients |
Organizations & group practices 2
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.
-
- Community/Behavioral Health Agency
- Mesa, AZ
- NPI 1790424810
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1583366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583366400000",
"number": "1932734415",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "625 N HAMILTON ST UNIT 53",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852253996",
"telephone_number": "480-310-6464"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "625 N HAMILTON ST UNIT 53",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852253996",
"telephone_number": "480-310-6464"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AGYEPONG",
"first_name": "LADY ESTHER",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-03-05",
"last_updated": "2020-03-05",
"certification_date": "2020-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AZ",
"license": "16546",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "AZ",
"license": "16546",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "AZ",
"license": "16546",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chandler, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.