Deziree Rodarte, LCSW | |
750 E Thunderbird Rd Ste 1, Phoenix, AZ 85022-5306 | |
(602) 230-7373 | |
(602) 218-6383 |
Full Name | Deziree Rodarte |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 750 E Thunderbird Rd Ste 1, Phoenix, Arizona |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194461251 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | LCSW-21332 (Arizona) | Primary |
104100000X | Social Worker | LMSW-16742 (Arizona) | Secondary |
Entity Name | Denova Collaborative Health, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609300854 PECOS PAC ID: 2466437736 Enrollment ID: O20040621001542 |
Mailing Address | Practice Location Address |
---|---|
Deziree Rodarte, LCSW 3101 N Central Ave Ste 500, Phoenix, AZ 85012-2639 Ph: (602) 230-7373 | Deziree Rodarte, LCSW 750 E Thunderbird Rd Ste 1, Phoenix, AZ 85022-5306 Ph: (602) 230-7373 |
Lindsey Arendt, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 501 N 24th St, Phoenix, AZ 85008 Phone: 602-220-6345 | |
Mrs. Solee R Cowley, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1919 E Thomas Rd, Phoenix, AZ 85016 Phone: 602-933-0414 Fax: 602-933-4252 | |
Jennifer M Santos, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1919 E Thomas Rd, Phoenix, AZ 85016 Phone: 602-933-1900 Fax: 602-933-0818 | |
Mr. Josue Bustos, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1101 N Central Ave Ste 200, Phoenix, AZ 85004 Phone: 602-307-5330 Fax: 602-307-5021 | |
Dominic Marco Miller, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3450 N 3rd St, Phoenix, AZ 85012 Phone: 602-265-8338 | |
Ira Dressner, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 34225 N 27th Dr, Building 5, Suite 138, Phoenix, AZ 85085 Phone: 623-523-9987 Fax: 888-343-2533 | |
Ms. Liana Dressner, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 34225 N 27th Dr, Building 5, Suite 138, Phoenix, AZ 85085 Phone: 623-523-9323 Fax: 888-343-2533 |