Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lighthouse Psychiatry LLC

Organization Clinical Social Worker · NPI 1326596719

Lighthouse Psychiatry LLC is a Clinical Social Worker in Gilbert, Arizona. Registered with an NPI since 2016.

In the registry since
2016
Specialties on file
12
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4001 E Baseline Rd Ste B-7
Gilbert, AZ 85234-2726
Phone: (480) 565-6440
Fax: (480) 454-1085
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X
Clinical Social Worker Taxonomy 1041C0700X
Family Medicine Physician Taxonomy 207Q00000X
Addiction Medicine (Family Medicine) Physician Taxonomy 207QA0401X
Internal Medicine Physician Taxonomy 207R00000X
Addiction Medicine (Internal Medicine) Physician Taxonomy 207RA0401X
Pediatrics Physician Taxonomy 208000000X
Pediatric Adolescent Medicine Physician Taxonomy 2080A0000X
Nurse Practitioner Taxonomy 363L00000X
Family Nurse Practitioner Taxonomy 363LF0000X
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X
Primary Care Nurse Practitioner Taxonomy 363LP2300X

Record details

NPI number1326596719
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Connie Decker — Credentialing Manage · (480) 269-2971
NPI enumeratedSeptember 14, 2016
Last updated in NPPESMay 17, 2022
Certification dateMay 17, 2022
Mailing address4001 E Baseline Rd, Suite B-7, Gilbert, AZ 85234-2726

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