JACOB RUNDALL
Social Worker

Address: 3231 W Shangri La Rd, Phoenix, AZ 85029-4151

JACOB RUNDALL (NPI# 1205421229) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1205421229
Entity Type Individual
Full Name JACOB RUNDALL
Gender Male
Credential LMSW
Practice Address 3231 W Shangri La Rd
Phoenix
AZ 85029-4151
Practice Telephone 5636394787
Mailing Address 3231 W Shangri La Rd
Phoenix
AZ 85029-4151
Mailing Telephone 6363947875
Certification Date 2021-03-02
Enumeration Date 2021-03-02
Last Update Date 2021-03-02
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification Group License Number License State Taxonomy Group
Y 104100000X Social Worker LMSW-19253 AZ Behavioral Health & Social Service Providers

Office Location

Street Address 3231 W SHANGRI LA RD
City PHOENIX
State AZ
Zip Code 85029-4151

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1477153799 Haydee Olivas De Bermudez Counselor · Mental Health 3301 North 33rd Ave., Phoenix, AZ 85029 2020-10-27
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1770125403 Desert Gem Assisted Living Facility, LLC Custodial Care Facility · Adult Care Home 3236 W. Eugie Avenue, Phoenix, AZ 85029 2019-10-15
1588128623 Anna Debbs Counselor · Professional 11221 North 28th Drive, Bldg E, Phoenix, AZ 85029 2019-01-23
1609360007 Melissa Lynn Denton Specialist/Technologist · Speech-Language Assistant 4014 W Paradise Dr, Phoenix, AZ 85029 2018-06-19
1639687056 Empower Home Care, LLC. Home Health 11225 N 28th Drive, Suite D115e, Phoenix, AZ 85029 2018-01-19
1053827857 Renew Counseling Center, LLC Counselor · Professional 11024 N. 28th Drive, Suite 200, Office 227, Phoenix, AZ 85029 2017-12-17
1467975698 Samantha June Collett Nurse Practitioner · Adult Health 3201 W Peoria Ave Ste 804, Phoenix, AZ 85029 2017-07-19
1073966347 Meka Joi Green · Meka Joi Horton Social Worker · Clinical 11225 M 28th Dr, Suite C210, Phoenix, AZ 85029 2016-07-21
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Taxonomy Information

Taxonomy Code 104100000X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker

Taxonomy Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1053997486 Kristen Ventola 3250 W Lower Buckeye Rd, Phoenix, AZ 85009-6729 2021-03-24
1184218513 Victoria Faith Conrey 3400 Grand Ave, Phoenix, AZ 85017-4507 2021-02-25
1154912624 Krystle Stempien 1401 E Jefferson St, Phoenix, AZ 85034-2315 2021-01-28
1891399226 Cassandra Cecila Colombo-Hickson 4124 W Beryl Ave, Phoenix, AZ 85051-1030 2020-11-25
1801400908 Sophiena Stevenson · Sophiena Legaspi 1701 E Colter St, Phoenix, AZ 85016-3363 2020-09-04
1992313241 Kristy Lynn Frieden 1019 N 1st Dr Unit 237a, Phoenix, AZ 85003-1472 2020-07-22
1588272835 Kelly Jayne Knowles 650 E Indian School Rd Bldg 23, Phoenix, AZ 85012-1892 2020-07-22
1235752767 Ngozichi M. Nwosu 2902 W Sweetwater Ave Apt 2058, Phoenix, AZ 85029-1375 2020-05-19
1194344630 Tabatha Saenz 3636 N Central Ave Ste 200, Phoenix, AZ 85012-1930 2020-04-14
1659911428 Thomas James Blake Phoenix Va Health Care System, 650 E Indian School Road, Phoenix, AZ 85012 2020-01-09
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City PHOENIX
Zip Code 85029

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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