Individual provider Active NPI

Jacci Arden Caplin, MSW, LCSW

  • Clinical Social Worker
  • Tempe, AZ
National Provider Identifier
1962589135
Registry record updated Jan 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW-0913 Issued in AZ
Practice address
2 W Dawn Dr
Tempe, AZ 85284-3037
Phone
(480) 707-7790
NPI assigned
Nov 1, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 20, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCSW-0913 AZ Primary

Addresses

Primary practice location

2 W Dawn Dr
Tempe, AZ 85284-3037

Mailing address

2 W Dawn Dr
Tempe, AZ 85284-3037
Phone (480) 707-7790

Other practice location 1

1250 E Baseline Rd Ste 103
Tempe, AZ 85283-1439
Phone (480) 707-7790

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
I20051202000106 AZ Practitioner - Clinical Social Worker 6204856479 Practice locations: Tempe, AZ

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1250 E Baseline Rd
Suite 103
Tempe, AZ 85283-1439
Phone (480) 707-7790

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642636800000",
    "number": "1962589135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 W DAWN DR",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852843037",
            "telephone_number": "480-707-7790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 W DAWN DR",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852843037",
            "telephone_number": "480-707-7790"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1250 E Baseline Rd Ste 103",
            "address_purpose": "LOCATION",
            "city": "Tempe",
            "state": "AZ",
            "postal_code": "852831439",
            "country_code": "US",
            "telephone_number": "480-707-7790",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAPLIN",
        "first_name": "JACCI",
        "middle_name": "ARDEN",
        "name_prefix": "Ms.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2022-01-20",
        "certification_date": "2022-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "LCSW-0913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

Verify at the official NPI Registry.