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SHINE HIS LIGHT LLC
NPI 1902678600
Social Worker - Clinical in Scottsdale, AZ

Active since October 25, 2023
30817 N 144TH ST, SCOTTSDALE, AZ 85262(480) 414-3916 Get Directions Write a Review

NPPES record last updated: October 25, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 2, 2023, Oct 25, 2023 (2 updates tracked since 2023).

About Shine His Light Llc NPPES

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

SHINE HIS LIGHT LLC (NPI 1902678600) is a healthcare organization registered as a clinical in Scottsdale, Arizona and active in the NPI registry since October 2023. The organization maintains a secondary practice location in Apache Junction and lists Jacqueline Kaleigh Rogers, Owner And Employee, as its authorized official.

NPPES Registry Identity

NPI1902678600
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameSHINE HIS LIGHT LLC
Location Address30817 N 144TH STScottsdale, AZ 85262-6837
Mailing AddressPo Box 551Apache Junction, AZ 85117-4019
Phone(480) 414-3916
Organization SubpartNo
Authorized OfficialJacqueline Kaleigh RogersOwner And Employee · (480) 414-3916
Enumeration DateOctober 25, 2023
Last NPPES UpdateOctober 25, 20232 updates tracked since enumeration
NPPES CertifiedOctober 25, 2023
✔ NPI 1902678600 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
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.
30817 N 144TH ST, Scottsdale, AZ 85262
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Secondary Practice Location 1

Location 1371 W 22nd AveApache Junction, AZ 85120-7718 · Phone (480) 414-3916

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shine His Light LLC's NPI number?

The NPI number for Shine His Light LLC is 1902678600. It was assigned to this organization in the NPPES registry on October 25, 2023.

Where is Shine His Light LLC located?

Shine His Light LLC is located at 30817 N 144th St, Scottsdale, AZ 85262. The listed phone number is (480) 414-3916.

What is Shine His Light LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Shine His Light LLC was last updated on October 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.