COGNITIVE CARE NETWORK PLLC NPI 1619475704

NPI Information

  • NPI: 1619475704
  • Provider Name: COGNITIVE CARE NETWORK, PLLC
  • Classification: Social Worker - 1041C0700X
  • Specialization: Clinical
  • Entity Type: Organization
  • Address: 3994 E AQUARIUS PL
    CHANDLER, AZ
    ZIP 85249
  • Phone: (480) 703-5905

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NPI Details

COGNITIVE CARE NETWORK, PLLC is a clinical social worker in Chandler, AZ. The provider is a social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. COGNITIVE CARE NETWORK, PLLC NPI is 1619475704. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3994 E AQUARIUS PL
CHANDLER, AZ
ZIP 85249-896
Phone: (480) 703-5905
Fax: (480) 703-5905

The provider's authorized official is Suzanne Jacobs .
The authorized official title is Owner/clinician and has the following contact phone number (480) 703-5905.

The enumeration date for this NPI number is 1/24/2018 and was last updated on 1/24/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11041C0700XSocial WorkerClinicalYes
2251S00000XCommunity/Behavioral HealthNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11861608861OTHERARIZONAINDIVIDUAL NPI NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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