Individual provider Active NPI

Elizabeth Marie Ogah

  • Clinical Social Worker
  • Glendale, AZ
National Provider Identifier
1952776932
Registry record updated Jul 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW-22340 Issued in AZ
Practice address
6052 N 59TH Ave
Glendale, AZ 85301-7709
Phone
(480) 618-0176
Fax
(623) 632-0129
NPI assigned
Dec 2, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 113601 CA
Clinical Social Worker 1041C0700X LCSW-22340 AZ Primary
Social Worker 104100000X LCSW-22340 AZ
Social Worker 104100000X 113601 CA

Addresses

Primary practice location

6052 N 59TH Ave
Glendale, AZ 85301-7709

Mailing address

PO Box 746093
Atlanta, GA 30374-6093
Phone (888) 702-0617

Other practice location 1

265 S Anita Dr Ste 201
Orange, CA 92868-3346
Phone (714) 410-3505 ext. 3510

Other names 1

  • Elizabeth Stephens Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: No
  • 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
I20241031003798 AZ Practitioner - Clinical Social Worker 1254864036 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
113601CAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Oak Street Health Physicians Group of Arizona PLLC Clinical CurrentSince Aug 29, 2024 Accepting new patients
Exodus Recovery, Inc. CurrentSince Mar 1, 2024 Accepting new patients
Holon Health Great Lakes, P.C. CurrentSince May 1, 2025 Accepting new patients

Locations

183 W Apache Trl
Ste B109
Apache Junction, AZ 85120
Phone (480) 618-0945

6052 N 59th Ave
Glendale, AZ 85301
Phone (480) 618-0176

2850 E Main St
Ste 106
Mesa, AZ 85213
Phone (480) 618-0019

5110 W McDowell Rd
Phoenix, AZ 85035
Phone (602) 671-7068

4539 N 22nd St
Ste N
Phoenix, AZ 85016
Phone (623) 226-4953

5650 S 12th Ave
Ste 132
Tucson, AZ 85706

3820 N Oracle Rd
Tucson, AZ 85705
Phone (520) 200-6707

265 S Anita Dr
Ste 201
Orange, CA 92868
Phone (714) 410-3500

3540 Pump Rd
Richmond, VA 23233
Phone (804) 404-6270

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": "1449014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784592000000",
    "number": "1952776932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746093",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746093",
            "telephone_number": "888-702-0617",
            "fax_number": "312-929-0373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6052 N 59TH AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853017709",
            "telephone_number": "480-618-0176",
            "fax_number": "623-632-0129"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "265 S Anita Dr Ste 201",
            "address_purpose": "LOCATION",
            "city": "Orange",
            "state": "CA",
            "postal_code": "928683346",
            "country_code": "US",
            "telephone_number": "714-410-3505 x3510",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OGAH",
        "first_name": "ELIZABETH",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-02",
        "last_updated": "2026-07-21",
        "certification_date": "2026-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "113601",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "LCSW-22340",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "AZ",
            "license": "LCSW-22340",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "113601",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "STEPHENS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Glendale, AZ

Sources for this page

Verify at the official NPI Registry.