MRS. MELYNDA J BOSCH (NPI# 1417479981) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417479981 |
| Entity Type | Individual |
| Full Name | MRS. MELYNDA J BOSCH |
| Credential | LCSW |
| Practice Address |
2302 N 75th Ave Phoenix AZ 85035 |
| Practice Telephone | 6288497500 |
| Mailing Telephone | 6288497500 |
| Enumeration Date | 2017-07-16 |
| Last Update Date | 2019-11-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 104100000X | Social Worker | ISW10854 | FL | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
LCSW-18035 | AZ | Behavioral Health & Social Service Providers |
| N | 1041C0700X |
Social Worker Specialization: Clinical |
CSW.09925503 | CO | Behavioral Health & Social Service Providers |
| Street Address |
2302 N 75TH AVE |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85035 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518964782 | Joni Suzanne Lydic | Nurse Practitioner | 2302 N 75th Ave, Phoenix, AZ 85035-1216 | 2005-07-03 |
| 1851827539 | Joelle Wysoski | Nurse Practitioner | 2302 N 75th Ave, Phoenix, AZ 85035-1216 | 2017-05-02 |
| 1205384393 | Francisco Arturo Garcia | Internal Medicine | 2302 N 75th Ave, Phoenix, AZ 85035-1216 | 2016-09-16 |
| 1376922195 | Alen Pajazetovic | Pharmacist | 2302 N 75th Ave, Phoenix, AZ 85035-1216 | 2015-05-26 |
| 1114350220 | Amber Rollo | Pharmacist | 2302 N 75th Ave, Phoenix, AZ 85035-1216 | 2013-08-12 |
| 1891940672 | Suzanne Legleiter | Nutritionist | 2302 N 75th Ave, Phoenix, AZ 85035-1216 | 2008-11-20 |
| 1134310493 | Dixie E. Lane | Dietitian, Registered | 2302 N 75th Ave, Phoenix, AZ 85035-1216 | 2007-08-01 |
| 1922176239 | Mohammad Ali Khezrian | Family Medicine | 2302 N 75th Ave, Phoenix, AZ 85035-1216 | 2006-12-04 |
| 1144391574 | Cigna Health Care of Arizona Inc. | Clinic/Center | 2302 N 75th Ave, Phoenix, AZ 85035-1216 | 2006-11-09 |
| 1528048253 | Jeri Kessman | Physician Assistant | 2302 N 75th Ave, Phoenix, AZ 85035-1216 | 2006-01-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912420621 | Safe Run Non Emergency Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 7205 W Mcdowell Rd, Apt 1073, Phoenix, AZ 85035 | 2017-07-25 |
| 1710435581 | Aimee Uwimana | Nurse Practitioner | 5030 W. Mcdowell Rd. Ste. 16, Phoenix, AZ 85035 | 2016-09-21 |
| 1528427317 | Akdhc, LLC | Internal Medicine | 4901 W Mcdowell Rd, Phoenix, AZ 85035 | 2016-02-22 |
| 1285921544 | Tasnim Khalife | Family Medicine | 2303 N. 75th Ave., Phoenix, AZ 85035 | 2011-07-06 |
| 1528210192 | Scott Alan Ulrick | Chiropractor | 5120 W. Mcdowell Rd, Phoenix, AZ 85035 | 2008-10-15 |
| 1467627331 | Robert Anthony Bembenek | Chiropractor | 5030 W Mcdowell Suite 10, Phx, AZ 85035 | 2008-04-23 |
| 1164569935 | Roy Song | Dentist | 1820 N 75th Ave, Suite 112, Phoenix, AZ 85035 | 2007-01-31 |
| 1659418994 | Western Dental of Arizona, Inc. | Dentist | 1820 N. 75th Ave., Suite #112, Phoenix, AZ 85035 | 2007-01-30 |
| 1982774824 | Nationwide Vision Center, LLC | Technician/Technologist | 1820 North 75th Avenue, Suite 102, Phoenix, AZ 85035 | 2006-11-08 |
| 1396748976 | Kris Morshedian | Internal Medicine | 4901 W Mcdowell Rd., Phoenix, AZ 85035 | 2005-05-27 |
| Find all providers in zip 85035 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679173181 | Jill M Robinson | Social Worker | 8804 N. 23rd Ave, Bldg. A Ste. A01-a02, Phoenix, AZ 85021 | 2020-10-26 |
| 1376141697 | Kristen Beuchat Alaniz | Social Worker | 2520 W Brookhart Way, Phoenix, AZ 85085-3725 | 2020-10-09 |
| 1780281659 | Robin Slavit | Social Worker | 5550 E Deer Valley Dr Apt 426, Phoenix, AZ 85054-5673 | 2020-10-05 |
| 1053934554 | Andrea Durand | Social Worker | 1918 W Bonanza Ln, Phoenix, AZ 85085-1727 | 2020-05-19 |
| 1841819125 | Hohokimel Thwajik Ki, LLC | Social Worker | 4114 N 28th St Apt 3005, Phoenix, AZ 85016-5779 | 2020-04-16 |
| 1104459973 | Ingrid Roxana Mejia | Social Worker | 1038 E Colter St, Phoenix, AZ 85014-2622 | 2020-02-19 |
| 1710533435 | Traci Andes | Social Worker | 8841 N 1st St Ste B, Phoenix, AZ 85020-2801 | 2019-08-18 |
| 1477107308 | Ralph Crudup Jr. | Social Worker | 6149 N 23rd Ave, Phoenix, AZ 85015-1821 | 2019-07-29 |
| 1255896593 | Cindy Eileen Penka-shack | Social Worker | 4531 E Danbury Rd, Phoenix, AZ 85032-2367 | 2019-01-31 |
| 1346723368 | Nathan Rehm | Social Worker | 3332 N 25th St, Phoenix, AZ 85016-7425 | 2018-09-14 |
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| 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.