Individual provider Active NPI

Marcus Paaikiki Recarte II, LCSW

  • Clinical Social Worker
  • Phoenix, AZ
National Provider Identifier
1942813787
Registry record updated Apr 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
19222 Issued in AZ
Practice address
7220 N 16TH St Ste G
Phoenix, AZ 85020-5253
Phone
(602) 529-1851
NPI assigned
Aug 30, 2020
Last updated
Apr 5, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 5, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 19222 AZ Primary

Addresses

Primary practice location

7220 N 16TH St Ste G
Phoenix, AZ 85020-5253

Mailing address

3415 N 36TH St Unit 5
Phoenix, AZ 85018-5762
Phone (602) 617-2208

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

LicenseStateTypeSpecialty
19222AZMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1598745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617580800000",
    "number": "1942813787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3415 N 36TH ST UNIT 5",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850185762",
            "telephone_number": "602-617-2208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7220 N 16TH ST STE G",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850205253",
            "telephone_number": "602-529-1851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RECARTE",
        "first_name": "MARCUS",
        "middle_name": "PAAIKIKI",
        "name_prefix": "Mr.",
        "name_suffix": "II",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-08-30",
        "last_updated": "2021-04-05",
        "certification_date": "2021-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "19222",
            "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 Apr 5, 2021; 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.