Active NPI
Nicole McCallister, LMSW
- Social Worker
- Scottsdale, AZ
National Provider Identifier
1972075299
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 17821
- Practice address
- 8880 E Desert Cove Ave
Scottsdale, AZ 85260-6746 - Phone
- (480) 314-6670
- Fax
- (480) 257-1997
- NPI assigned
- Dec 27, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 17821 | AZ | Primary |
Addresses
Primary practice location
8880 E Desert Cove Ave
Scottsdale, AZ 85260-6746
Mailing address
PO Box 6423
Chandler, AZ 85246-6423
Phone (480) 245-6286
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
| License | State | Type | Specialty |
|---|---|---|---|
| 17821 | AZ | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1545868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668643200000",
"number": "1972075299",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6423",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852466423",
"telephone_number": "480-245-6286",
"fax_number": "480-398-8080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8880 E DESERT COVE AVE",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852606746",
"telephone_number": "480-314-6670",
"fax_number": "480-257-1997"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCALLISTER",
"first_name": "NICOLE",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-12-27",
"last_updated": "2022-11-17",
"certification_date": "2022-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "AZ",
"license": "17821",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Scottsdale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.