MR. STUART B FENSTERHEIM (NPI# 1750362604) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750362604 |
| Entity Type | Individual |
| Full Name | MR. STUART B FENSTERHEIM |
| Credential | LCSW |
| Practice Address |
1855 E Southern Ave Suite 201 Mesa AZ 85204-5241 |
| Practice Telephone | 4805601981 |
| Practice Fax Number | 4808134721 |
| Mailing Telephone | 4805601981 |
| Mailing Fax Number | 4808134721 |
| Enumeration Date | 2005-11-08 |
| Last Update Date | 2012-03-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
LCSW1705 | AZ | Behavioral Health & Social Service Providers |
| Street Address |
1855 E SOUTHERN AVE SUITE 201 |
| City | MESA |
| State | AZ |
| Zip Code | 85204-5241 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144219882 | Georgia Ann Merz | Counselor | 1855 E Southern Ave, Suite 201, Mesa, AZ 85204-5241 | 2005-10-15 |
| 1033676564 | Jom Enterprise, LLC | Non-emergency Medical Transport (VAN) | 1855 E Southern Ave, Mesa, AZ 85204-5241 | 2019-02-20 |
| 1760956858 | Assyrian Caregiver Alliance | Home Health | 1855 E Southern Ave, Mesa, AZ 85204-5241 | 2019-01-11 |
| 1437690187 | Anasazi Integrated Health and Wellness | Community/Behavioral Health | 1855 E Southern Ave, Ste 205, Mesa, AZ 85204-5241 | 2017-03-14 |
| 1528306198 | Kimberly E. Webb | Specialist/Technologist | 1855 E Southern Ave, Suite 105, Mesa, AZ 85204-5241 | 2013-01-16 |
| 1790068625 | Breena Jean Keesler | Physical Therapy Assistant | 1855 E Southern Ave, Ste. 107, Mesa, AZ 85204-5241 | 2011-09-27 |
| 1558503813 | Carmen Traill Pllc | Nurse Practitioner | 1855 E Southern Ave, Suite #201, Mesa, AZ 85204-5241 | 2009-04-01 |
| 1649307018 | Ariel Ann Schulz | Social Worker | 1855 E Southern Ave, Suite 201, Mesa, AZ 85204-5241 | 2007-02-27 |
| 1346375854 | Jonathan Allen Erbe | Counselor | 1855 E Southern Ave, Suite 201, Mesa, AZ 85204-5241 | 2007-02-23 |
| 1427015411 | Franca Marie Haddox | Counselor | 1855 E Southern Ave, Mesa, AZ 85204-5241 | 2006-04-26 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194374819 | Luminations Healing Center, LLC | Social Worker | 1237 S. Val Vista Dr. #221, Mesa, AZ 85204 | 2019-09-05 |
| 1881160356 | Wanjiru Landers | Student in an Organized Health Care Education/Training Program | 550 S Linda Circle, Mesa, AZ 85204 | 2018-10-22 |
| 1649754235 | Adam Desnous | Specialist/Technologist | 751 S Daley, Mesa, AZ 85204 | 2018-09-19 |
| 1982128187 | Michael Anthony Jones | Counselor | 1107 North Gilbert Rd, Mesa, AZ 85204 | 2017-07-29 |
| 1295287225 | Scottsdale Healthcare Corp | Family Medicine | 2530 W. Southern Ave, Mesa, AZ 85204 | 2016-10-25 |
| 1427504158 | Richard White | Physician Assistant | 2345 E Southern Ave # 101, Mesa, AZ 85204 | 2016-09-01 |
| 1548716780 | Pain Stop Accident Injury LLC | Chiropractor | 425 E 11th Ave, Mesa, AZ 85204 | 2016-08-28 |
| 1154704252 | Glenn Taylor Lesueur | Dentist | 1056 S. Val Vista Dr., Suite 1, Mesa, AZ 85204 | 2015-07-07 |
| 1073932513 | Naomi Devine | Nurse Practitioner | 1840 South Stapley Drive, Suite 101, Mesa, AZ 85204 | 2014-04-14 |
| 1609292531 | John Kamau | Counselor | 1060 S Lobin Ln, Mesa, AZ 85204 | 2014-03-17 |
| Find all providers in zip 85204 | ||||
| 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 |
|---|---|---|---|---|
| 1356978969 | Choices 4 Change Counseling and Coaching LLC | Social Worker | 3707 E Southern Ave., Suite 2027, Mesa, AZ 85206 | 2020-03-24 |
| 1972142511 | Sonoran Sunrise Counseling, LLC | Social Worker | 6239 E Brown Rd Ste 112, Mesa, AZ 85205-4933 | 2019-12-30 |
| 1982248860 | Jennifer Franco-rodriguez | Social Worker | 1914 E Downing St, Mesa, AZ 85203-6627 | 2019-11-04 |
| 1659913655 | Kimberly Portugal | Social Worker | 10313 E Thornton Ave, Mesa, AZ 85212-8355 | 2019-10-10 |
| 1194374819 | Luminations Healing Center, LLC | Social Worker | 1237 S. Val Vista Dr. #221, Mesa, AZ 85204 | 2019-09-05 |
| 1144788563 | Ariel Koch | Social Worker | 11217 E Persimmon Ave, Mesa, AZ 85212-1905 | 2019-03-05 |
| 1609374529 | Gene R Lullo | Social Worker | 1830 S Alma School Rd Suite 101, Mesa, AZ 85210 | 2018-01-25 |
| 1265976625 | Susan M Macintyre | Social Worker | 739 W Portobello Ave, Mesa, AZ 85210-8345 | 2016-12-05 |
| 1568812378 | Rebecca Van Wagenen Bermudez | Social Worker | 7565 E Eagle Crest Dr, Suite 201 Top Floor, Mesa, AZ 85207-1041 | 2016-06-13 |
| 1891156121 | The Lotus Counseling Center LLC | Social Worker | 2222 S Dobson Rd Ste 300, Mesa, AZ 85202-6490 | 2016-03-14 |
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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.