Kathy Renee Willis
Social Worker β’ Mesa, AZ
11026 E Segura Ave
Mesa, AZ 852125214
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
Practice Location & Contact Primary Location
11026 E Segura Ave
Mesa, AZ 852125214
NPPES lists 1 additional practice-address record in Phoenix, AZ. See the list
Source: CMS NPPES NPI Registry, practice location records; release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
What Public CMS Data Show
Social Worker: NPPES taxonomy is a reported classification, not proof of board certification.
NPI first issued
2011
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Medicare assignment not listed
CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians, CMS release of October 2, 2026; Medicare.gov, βDoes your provider accept Medicare as full payment?β
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians, CMS release of October 2, 2026.
Compared with the same specialty in Mesa and Arizona
87 active clinicians are listed under Social Worker with a practice address in Mesa, AZ (1,592 in Arizona).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Mesa
3.4% of these 87 clinicians have the CMS telehealth indicator.
5.7% of these 87 clinicians are listed by CMS as accepting Medicare assignment.
Sources: CMS Doctors and Clinicians, CMS release of October 2, 2026, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo Β· Report an error.
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2020-08-17NUCC Taxonomy Code: 385HR2055X
A facility or distinct part of a facility that provides short term, residential care to children, diagnosed with mental illness, as respite for the regular caregivers.
NUCC Taxonomy Code: 104100000X
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
Additional State Medicaid & Healthcare Payer Identifiers
Secondary Practice Locations
2320 W Peoria Ave Ste C111
Phoenix, AZ 850294715
Phone: 6022837100
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 11026 E SEGURA AVE, MESA, AZ 852125214 (Tel: 4802359107)
Additional practice office at 2320 W Peoria Ave Ste C111, Phoenix, AZ 850294715
NPI status registered as active in NPPES database
Registered at 2320 W PEORIA AVE STE C111, PHOENIX, AZ 850294715 (Tel: 6022837100)
Registered at 11026 E SEGURA AVE, MESA, AZ 852125214 (Tel: 4809647062)
Recorded as KATHY WILLIS
Social Worker (license number reported to NPPES: AZ 3162012)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Mailing Address
11026 E Segura Ave
Mesa, AZ 852125214