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

Mr. Paul Ace Jim III, LCSW

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1154791580

Mr. Paul Ace Jim III, LCSW is a Clinical Social Worker in Mesa, Arizona. Qualified in 2019, 7 years ago. Practices with Native Health, a 21-clinician group and accepts Medicare assignment. Licensed in Arizona and Oregon.

Years since qualifying
7
Licensed in
AZ, OR
In the registry since
2015
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

777 W Southern Ave
Mesa, AZ 85210-5008
Phone: (602) 279-5262
Fax: (541) 504-1195
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence LCSW-22382 (AZ)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 17-04-09 (OR)

Record details

NPI number1154791580
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedSeptember 28, 2015
Last updated in NPPESJuly 29, 2024
Certification dateJuly 29, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Native Health — 21 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Mesa