Individual provider Active NPI

McMillan Gibson Salik

  • Clinical Social Worker
  • Tucson, AZ
National Provider Identifier
1033905088
Registry record updated Apr 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
1501 W Commerce CT
Tucson, AZ 85746-6016
Phone
(520) 741-3180
NPI assigned
Apr 16, 2025
Last updated
Apr 16, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2025

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 Primary

Addresses

Primary practice location

1501 W Commerce CT
Tucson, AZ 85746-6016

Mailing address

1477 W Commerce CT
Tucson, AZ 85746-6016
Phone (520) 792-3293

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
I20250911001067 AZ Practitioner - Clinical Social Worker 1355844838 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1477 W Commerce CT
Tucson, AZ 85746-6016

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Cope Community Services, Inc. CurrentSince Jun 28, 2025 Accepting new patients
Cope Community Services, Inc. Current Accepting new patients
Cope Community Services, Inc. CurrentSince Jun 28, 2025 Accepting new patients
Cope Community Services, Inc. Past Accepting new patients

Locations

1477 W Commerce Ct
Tucson, AZ 85746
Phone 52079232931308

1501 W Commerce Ct
Tucson, AZ 85746
Phone (520) 741-3180

2435 N Castro Ave
Tucson, AZ 85705
Phone (520) 622-8030

5840 N La Cholla Blvd
Tucson, AZ 85741
Phone (520) 498-3900

620 N Craycroft Rd
Tucson, AZ 85711
Phone (520) 747-6694

660 N Craycroft Rd
Tucson, AZ 85711
Phone (520) 519-8540

7020 N Antonietta Dr
Tucson, AZ 85704
Phone (520) 219-8747

8050 E Lakeside Pkwy
Tucson, AZ 85730
Phone (520) 584-5820

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1744761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744761600000",
    "number": "1033905088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1477 W COMMERCE CT",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857466016",
            "telephone_number": "520-792-3293",
            "fax_number": "520-792-4336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 W COMMERCE CT",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857466016",
            "telephone_number": "520-741-3180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALIK",
        "first_name": "MCMILLAN",
        "middle_name": "GIBSON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-04-16",
        "last_updated": "2025-04-16",
        "certification_date": "2025-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.