Individual provider Active NPI

Roy R. Coombes, L.C.S.W.

  • Clinical Social Worker
  • Tucson, AZ
National Provider Identifier
1053513481
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW 3880I Issued in AZ
Practice address
2919 E Broadway Blvd
#215
Tucson, AZ 85716-5301
Phone
(520) 850-1164
NPI assigned
Jun 5, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 LCSW 3880I AZ Primary

Addresses

Primary practice location

2919 E Broadway Blvd
#215
Tucson, AZ 85716-5301

Mailing address

2919 E Broadway Blvd
#215
Tucson, AZ 85716-5301
Phone (520) 850-1164

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LCSW 3880IAZMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1181001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1053513481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2919 E BROADWAY BLVD",
            "address_2": "#215",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857165301",
            "telephone_number": "520-850-1164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2919 E BROADWAY BLVD",
            "address_2": "#215",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857165301",
            "telephone_number": "520-850-1164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOMBES",
        "first_name": "ROY",
        "middle_name": "R.",
        "name_prefix": "Mr.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "LCSW 3880I",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.