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

Shine His Light LLC

Organization Clinical Social Worker · NPI 1902678600

Shine His Light LLC is a Clinical Social Worker in Scottsdale, Arizona. Works from 2 locations. Registered with an NPI since 2023.

In the registry since
2023
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

30817 N 144th St
Scottsdale, AZ 85262-6837
Phone: (480) 414-3916
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 371 W 22nd Ave, Apache Junction, AZ 85120-7718 — (480) 414-3916

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1902678600
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jacqueline Rogers — Owner And Employee · (480) 414-3916
NPI enumeratedOctober 25, 2023
Last updated in NPPESNovember 2, 2023
Certification dateNovember 2, 2023
Mailing addressPo Box 551, Apache Junction, AZ 85117-4019

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