JENNIFER SHEA FILLMORE LMSW
NPI 1396877411
Social Worker - Clinical in Mesa, AZ

Q: What is Jennifer Fillmore's NPI number?

The NPI number for Jennifer Fillmore is 1396877411. It was assigned to this individual provider in the NPPES registry on March 12, 2007. The provider is also known as Jennifer Shea Trifari.

Q: What is Jennifer Fillmore's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Q: When was this NPI record last updated?

The NPPES record for Jennifer Fillmore was last updated on November 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 12, 2007PECOS EnrolledAccepts Medicare Assignment

1910 S STAPLEY DR STE 209, MESA, AZ 85204(480) 351-8020 Get Directions Write a Review

NPPES record last updated: November 7, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 7, 2025, Nov 9, 2023 (2 updates tracked since 2023).

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About Jennifer Shea Fillmore Lmsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JENNIFER SHEA FILLMORE LMSW (NPI 1396877411) is an individual clinical provider in Mesa, Arizona, licensed in Arizona (LCSW-23339) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2002).

NPPES Registry Identity

NPI1396877411

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameJENNIFER SHEA FILLMORECredential: LMSW

Location Address1910 S STAPLEY DR STE 209Mesa, AZ 85204-6679

Mailing Address1910 S Stapley DrMesa, AZ 85204-6674 · (480) 351-8020

Phone(480) 351-8020

Sole ProprietorNo

Medical School CMSOtherGraduated 2002

Enumeration DateMarch 12, 2007

Last NPPES UpdateNovember 7, 20252 updates tracked since enumeration

NPPES CertifiedNovember 7, 2025

✔ NPI 1396877411 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in AZ · LCSW-23339

Definition

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.

1910 S STAPLEY DR STE 209, Mesa, AZ 85204

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Other Names 1

Other Name (5)Jennifer Shea Trifari

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jennifer Shea Fillmore Lmsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4486147618

PECOS Enrollment IDI20251204004916

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85204 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$0.00 typical visit price

range $55.44 – $168.60

Typical copayment $0.00 (range $13.86 – $42.15)

Most-billed visit code NA

Established Patient

$69.24 typical visit price

range $17.72 – $137.41

Typical copayment $17.31 (range $4.43 – $34.35)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

REBECCA WIGTON MA, LPC

Counselor (Professional)