NPIMap

Organization Active NPI

Jacqueline B Kaplan LCSW LLC

  • Clinical Social Worker
  • Tucson, AZ
National Provider Identifier
1063749786
Registry record updated Jan 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW13492 Issued in AZ
Legal business name
JACQUELINE B KAPLAN LCSW LLC
Practice address
1601 N Tucson Blvd Ste 38
Tucson, AZ 85716-3410
Phone
(520) 901-0968
Fax
(520) 844-1033
NPI assigned
Nov 17, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2018

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

Authorized official

Name
Jacqueline Barbara Kaplan, LCSW
Title
Clinical Psychotherapist/Owner
Phone
(520) 901-0968

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X SW8902 FL
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X LCSW13492 AZ Primary

Addresses

Primary practice location

1601 N Tucson Blvd Ste 38
Tucson, AZ 85716-3410

Mailing address

1601 N Tucson Blvd Ste 38
Tucson, AZ 85716-3410
Phone (520) 901-0968

Other identifiers 1

IdentifierTypeStateIssuer
SW8902OtherFLSTATE LICENSE

National Provider Directory

National Provider Directory

Locations

800 N Swan Rd
Ste 122
Tucson, AZ 85711
Phone (520) 275-8477

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1258416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515024000000",
    "number": "1063749786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 N TUCSON BLVD STE 38",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857163410",
            "telephone_number": "520-901-0968",
            "fax_number": "520-844-1033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 N TUCSON BLVD STE 38",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857163410",
            "telephone_number": "520-901-0968",
            "fax_number": "520-844-1033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACQUELINE B KAPLAN LCSW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-17",
        "last_updated": "2018-01-04",
        "status": "A",
        "authorized_official_last_name": "KAPLAN",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_middle_name": "BARBARA",
        "authorized_official_title_or_position": "CLINICAL PSYCHOTHERAPIST/OWNER",
        "authorized_official_telephone_number": "520-901-0968",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW8902",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "LCSW13492",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "SW8902",
            "state": "FL"
        }
    ],
    "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 Jan 4, 2018; 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.