Chuck Farrell, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW0627 Issued in AZ

Practice address

5210 E Pima St
Suite 200
Tucson, AZ 85712-3664

Phone

(520) 322-4463

Fax

(520) 795-3575

NPI assigned

Jan 5, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195603200000",
    "number": "1043368327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3120 N WILLOW CREEK DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857121382",
            "telephone_number": "520-322-4463",
            "fax_number": "520-795-3575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5210 E PIMA ST",
            "address_2": "SUITE 200",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857123664",
            "telephone_number": "520-322-4463",
            "fax_number": "520-795-3575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARRELL",
        "first_name": "CHUCK",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-05",
        "last_updated": "2007-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "LCSW0627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stanley Joe Farnum, D.D.S.
• Natalie Faron
• Arnold Warfield Farr, M.D.
• Kiah Farr, MD
• Kelly Colleen Farrell Moffitt, PT, DPT
• Isaac J Farrell, MD
• Johanna L Farrell
• Roy George Farrell, MD
• Samantha Farrell, RN
• Sharon Elizabeth Farrell, PT

• Clinical Social Worker in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Clinical Social Worker in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2007; 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.