Individual provider Active NPI

Victoria L Woods, LCSW

  • Clinical Social Worker
  • Payson, AZ
National Provider Identifier
1023281318
Registry record updated Jan 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW11749 Issued in AZ
Practice address
814 N. Beeline Hwy
Suite E
Payson, AZ 85541-3757
Phone
(602) 679-5273
Fax
(602) 216-9590
NPI assigned
Apr 8, 2008
Last updated
Jan 4, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCSW11749 AZ Primary

Addresses

Primary practice location

814 N. Beeline Hwy
Suite E
Payson, AZ 85541-3757

Mailing address

PO Box 1291
Payson, AZ 85547-1291
Phone (602) 679-5273

Other identifiers 1

IdentifierTypeStateIssuer
017583MedicaidAZ

Other names 1

  • Ms. Tori Woods Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091008000277 AZ Practitioner - Clinical Social Worker 4880730670 Practice locations: Payson, AZ

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

814 N Beeline Hwy
Suite E
Payson, AZ 85541-3757
Phone (602) 679-5273

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW11749AZMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1207612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641254400000",
    "number": "1023281318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1291",
            "city": "PAYSON",
            "state": "AZ",
            "postal_code": "855471291",
            "telephone_number": "602-679-5273",
            "fax_number": "602-216-9590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "814 N. BEELINE HWY",
            "address_2": "SUITE E",
            "city": "PAYSON",
            "state": "AZ",
            "postal_code": "855413757",
            "telephone_number": "602-679-5273",
            "fax_number": "602-216-9590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODS",
        "first_name": "VICTORIA",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-08",
        "last_updated": "2022-01-04",
        "certification_date": "2022-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "LCSW11749",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "017583",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TORI",
            "last_name": "WOODS",
            "prefix": "MS.",
            "credential": "LCSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Payson, AZ

Sources for this page

Verify at the official NPI Registry.