Healthcare Provider Details

I. General information

NPI: 1033023924
Provider Name (Legal Business Name): DANIELLE JOINTER-SHEPHERD LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/29/2026
Last Update Date: 09/29/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1255 W BASELINE RD STE 138B
MESA AZ
85202-5821
US

IV. Provider business mailing address

1255 W BASELINE RD STE 138B
MESA AZ
85202-5821
US

V. Phone/Fax

Practice location:
  • Phone: 480-820-5422
  • Fax:
Mailing address:
  • Phone: 480-820-5422
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLCSW-23983
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: