Healthcare Provider Details

I. General information

NPI: 1881519726
Provider Name (Legal Business Name): CAROLINE JOAN CHAMBERS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/11/2026
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3330 N 2ND ST STE 601
PHOENIX AZ
85012-2395
US

IV. Provider business mailing address

3101 N CENTRAL AVE STE 550
PHOENIX AZ
85012-2635
US

V. Phone/Fax

Practice location:
  • Phone: 602-230-7373
  • Fax: 928-339-8186
Mailing address:
  • Phone: 602-230-7373
  • Fax: 928-339-8186

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberLMSW-23369
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: