Healing Water Connections, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

HEALING WATER CONNECTIONS, LLC

Practice address

1038 E Colter St
Phoenix, AZ 85014-2622

Phone

(623) 414-9488

NPI assigned

Sep 3, 2020

Last updated

Sep 3, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ingrid Roxana Mejia, LCSWNPI 1104459973

Title

Chief Executive Officer

Phone

(623) 414-9488

Specialties & licenses 1

Addresses

Electronic endpoints 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ingrid Roxana Mejia, LCSW

  • Clinical Social Worker
  • Phoenix, AZ
  • NPI 1104459973
  NPD Authorized official

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

{
    "created_epoch": "1599091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599091200000",
    "number": "1952915209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1038 E COLTER ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850142622",
            "telephone_number": "623-414-9488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1038 E COLTER ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850142622",
            "telephone_number": "623-414-9488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING WATER CONNECTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-03",
        "last_updated": "2020-09-03",
        "certification_date": "2020-08-31",
        "status": "A",
        "authorized_official_last_name": "MEJIA",
        "authorized_official_first_name": "INGRID",
        "authorized_official_middle_name": "ROXANA",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "623-414-9488",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "ingriduchicago@gmail.com",
            "affiliation": "N",
            "address_1": "1038 E Colter St",
            "city": "Phoenix",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "850142622",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Healing Humans
• Healing Integrated Health Center, Inc
• Healing Journeys, LLC
• Healing Moments PLLC
• Healing Water Connections
• Healings Treatment Center
• Health and Harmony Wellness Center
• Health at Home Hospice - Phoenix, LLC (Casa de la Luz - West Valley)
• Health Care Imaging Inc
• Health Care Safety Inc (Desert West Medical Compliance)

• Clinical Social Worker in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Clinical Social Worker in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 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.

Verify at the official NPI Registry.