Individual provider Active NPI

Priscilla Williamson Reynolds, MSW

  • Clinical Social Worker
  • Tucson, AZ
National Provider Identifier
1043290901
Registry record updated May 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW0314I Issued in AZ
Practice address
7360 N la Cholla Blvd
Tucson, AZ 85741-2305
Phone
(520) 877-8167
Fax
(520) 531-1938
NPI assigned
Jan 18, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 17, 2013

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 LCSW0314I AZ Primary

Addresses

Primary practice location

7360 N la Cholla Blvd
Tucson, AZ 85741-2305

Mailing address

7360 N la Cholla Blvd
Tucson, AZ 85741-2305
Phone (520) 877-8167

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
I20051104000047 AZ Practitioner - Clinical Social Worker 4082632419 Reassigns benefits to 1 organization

Care Compare profile

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

Practice addresses (Care Compare)

290 W Calle de Las Tiendas
Green Valley, AZ 85614-4359
Phone (520) 877-8167

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW0314IAZMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Priscilla W. Reynolds, PLC, LLC Clinical CurrentSince Oct 1, 2008 Accepting new patients

Locations

170 N La Canada Dr
Green Valley, AZ 85614
Phone (520) 625-3835

290 W Calle de las Tiendas
Green Valley, AZ 85614
Phone (520) 877-8167

7360 N La Cholla Blvd
Tucson, AZ 85741
Phone (520) 219-1992

7632 N La Cholla Blvd
Tucson, AZ 85741
Phone (520) 276-4346

6600 N Oracle Rd
Ste 110
Tucson, AZ 85704
Phone (520) 275-4526

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1137542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368748800000",
    "number": "1043290901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7360 N LA CHOLLA BLVD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857412305",
            "telephone_number": "520-877-8167",
            "fax_number": "520-531-1938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7360 N LA CHOLLA BLVD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857412305",
            "telephone_number": "520-877-8167",
            "fax_number": "520-531-1938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "PRISCILLA",
        "middle_name": "WILLIAMSON",
        "name_prefix": "Ms.",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-18",
        "last_updated": "2013-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "LCSW0314I",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.