Individual provider Active NPI

Patrick S Burdell

  • Clinical Social Worker
  • Glendale, AZ
National Provider Identifier
1952279622
Registry record updated Feb 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW-23353 Issued in AZ
Practice address
20325 N 51St Ave Ste 168
Glendale, AZ 85308-4624
Phone
(844) 385-3747
NPI assigned
Oct 25, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 25, 2026

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 LCSW-23353 AZ Primary

Addresses

Primary practice location

20325 N 51St Ave Ste 168
Glendale, AZ 85308-4624

Mailing address

5308 N Bremont Way
Prescott Valley, AZ 86314-5812
Phone (928) 420-2866

Other practice location 1

5308 N Bremont Way
Prescott Valley, AZ 86314-5812
Phone (928) 420-2866

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
I20260319002473 AZ Practitioner - Clinical Social Worker 2264916063 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2414 W Old Paint TRL
Phoenix, AZ 85086-6608

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW-23353AZMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Therapy Associates, LLC Multi-Specialty CurrentSince Mar 1, 2026 Accepting new patients
Raymond W Lemberg PHD PC Clinical CurrentSince Mar 1, 2026 Accepting new patients

Locations

20325 N 51st Ave
Ste 168
Glendale, AZ 85308
Phone (480) 801-2985

17235 N 75th Ave
Ste F135
Glendale, AZ 85308
Phone (480) 801-2985

2500 S Power Rd
Ste 103
Mesa, AZ 85209
Phone (844) 385-3747

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.

NPI Registry JSON

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

{
    "created_epoch": "1761350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771977600000",
    "number": "1952279622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5308 N BREMONT WAY",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "863145812",
            "telephone_number": "928-420-2866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20325 N 51ST AVE STE 168",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853084624",
            "telephone_number": "844-385-3747"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5308 N Bremont Way",
            "address_purpose": "LOCATION",
            "city": "Prescott Valley",
            "state": "AZ",
            "postal_code": "863145812",
            "country_code": "US",
            "telephone_number": "928-420-2866",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURDELL",
        "first_name": "PATRICK",
        "middle_name": "S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-10-25",
        "last_updated": "2026-02-25",
        "certification_date": "2026-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "LCSW-23353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

Verify at the official NPI Registry.