MEDICARE: JAY MICHAEL PIERCEFIELD LCSW

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	1041S0200X	School Social Worker	LMSW-16688	AZ
2	1041C0700X	Clinical Social Worker	LCSW-23542	AZ

General Provider Information

NPI Number	:	1235802166
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAY MICHAEL PIERCEFIELD LCSW

Provider Business Mailing Address
First Line	:	749 E KENWOOD ST
Second Line	:
City	:	MESA
State	:	AZ
Zip	:	85203-1878
Country	:	US
Telephone Number	:	480-688-3797
Fax Number	:

Provider Business Practice Location Address
First Line	:	15525 N 83RD AVE STE 104
Second Line	:
City	:	PEORIA
State	:	AZ
Zip	:	85382-5820
Country	:	US
Telephone Number	:	480-964-2273
Fax Number	:	623-505-3272

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

Provider Enumeration Date	:	07/27/2021
Last Update Date	:	01/21/2026

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