MEDICARE: DENISSE VIOLANTE LMSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	18099	AZ

General Provider Information

NPI Number	:	1215892468
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DENISSE VIOLANTE LMSW

Provider Business Mailing Address
First Line	:	933 E PEDRO RD
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85042-7877
Country	:	US
Telephone Number	:	915-274-2828
Fax Number	:

Provider Business Practice Location Address
First Line	:	1345 E MAIN ST STE 104
Second Line	:
City	:	MESA
State	:	AZ
Zip	:	85203-8950
Country	:	US
Telephone Number	:	480-300-4741
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/19/2025
Last Update Date	:	12/19/2025

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Directions to “ DENISSE VIOLANTE LMSW” Practice Location

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