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NPI Code Detail

MEDICARE: JADE HSIAO FEN SUN CHAVEZ LCSW

MEDICARE:   JADE HSIAO FEN SUN CHAVEZ  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
11041C0700XClinical Social WorkerLCSW-23109AZ

General Provider Information

NPI Number : 1538043815
Entity Type Code : Individual
Provider Name (Legal Business Name) : JADE HSIAO FEN SUN CHAVEZ LCSW
Provider Business Mailing Address
First Line : 112 N CENTRAL AVE STE M43
Second Line :
City : PHOENIX
State : AZ
Zip : 85004-2309
Country : US
Telephone Number : 888-500-2067
Fax Number :
Provider Business Practice Location Address
First Line : 750 E THUNDERBIRD RD STE 1-3
Second Line :
City : PHOENIX
State : AZ
Zip : 85022-5306
Country : US
Telephone Number : 602-230-7373
Fax Number : 602-218-6383
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/01/2025
Last Update Date : 06/01/2026

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Directions to “ JADE HSIAO FEN SUN CHAVEZ LCSW” Practice Location

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