Organization Active NPI

Roosevelt School Dist. 6218 S.7TH Street

  • School Social Worker
  • Phoenix, AZ
National Provider Identifier
1013131317
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Social WorkerTaxonomy code 1041S0200X
License
I24II
Legal business name
ROOSEVELT SCHOOL DIST. 6218 S.7TH STREET
Practice address
6218 S 7TH St
Phoenix, AZ 85042-4211
Phone
(602) 243-4866
Fax
(602) 304-3132
NPI assigned
Apr 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Ray Soto Saiz, LCSW
Title
Licensed Clinical Social Worker
Phone
(602) 243-4866

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041S0200X I24II Primary

Addresses

Primary practice location

6218 S 7TH St
Phoenix, AZ 85042-4211

Mailing address

5533 E. Forge
Mesa
Phoenix, AZ 85206
Phone (480) 924-6313

National Provider Directory

National Provider Directory
Tax ID family
Roosevelt School Dist 6218 S7TH Street2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013131317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5533 E. FORGE",
            "address_2": "MESA",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85206",
            "telephone_number": "480-924-6313",
            "fax_number": "602-304-3132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6218 S 7TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850424211",
            "telephone_number": "602-243-4866",
            "fax_number": "602-304-3132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROOSEVELT SCHOOL DIST. 6218 S.7TH STREET",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SAIZ",
        "authorized_official_first_name": "RAY",
        "authorized_official_middle_name": "SOTO",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "602-243-4866",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, School",
            "state": null,
            "license": "I24II",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.