Individual provider Active NPI

Rosemarie Ampela, LCSW

  • Clinical Social Worker
  • Tucson, AZ
National Provider Identifier
1124178264
Registry record updated Oct 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW 12721 Issued in AZ
Practice address
551 W Magee Rd
Tucson, AZ 85704-6439
Phone
(520) 791-9974
Fax
(520) 791-0676
NPI assigned
Jan 11, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 4, 2012

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 12721 AZ Primary

Addresses

Primary practice location

551 W Magee Rd
Tucson, AZ 85704-6439

Mailing address

PO Box 35762
Tucson, AZ 85740-5762
Phone (520) 791-9974

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW 12721AZMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Renewal Centers Inc PastSince Feb 1, 2017 Accepting new patients

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": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349308800000",
    "number": "1124178264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 35762",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857405762",
            "telephone_number": "520-791-9974",
            "fax_number": "520-791-0676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "551 W MAGEE RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857046439",
            "telephone_number": "520-791-9974",
            "fax_number": "520-791-0676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMPELA",
        "first_name": "ROSEMARIE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-11",
        "last_updated": "2012-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "LCSW 12721",
            "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 Oct 4, 2012; 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.