Organization Active NPI

Christian Family Care Agency

  • Social Worker
  • Tucson, AZ
National Provider Identifier
1144372319
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
LCSW-11535 Issued in AZ
Legal business name
CHRISTIAN FAMILY CARE AGENCY
Practice address
6063 E Grant Rd
Tucson, AZ 85712-2318
Phone
(520) 296-8255
Fax
(520) 296-8773
NPI assigned
Jan 17, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Pam Giardina, MS, LPC
Title
VP Programs-Southern Az
Phone
(520) 296-8255

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X LCSW-11535 AZ Primary

Addresses

Primary practice location

6063 E Grant Rd
Tucson, AZ 85712-2318

Mailing address

6063 E Grant Rd
Tucson, AZ 85712-2318
Phone (520) 296-8255

National Provider Directory

National Provider Directory
Tax ID family
Christian Family Care Agency2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

6063 E Grant Rd
Tucson, AZ 85712
Phone (520) 296-8255

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1144372319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6063 E GRANT RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857122318",
            "telephone_number": "520-296-8255",
            "fax_number": "520-296-8773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6063 E GRANT RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857122318",
            "telephone_number": "520-296-8255",
            "fax_number": "520-296-8773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTIAN FAMILY CARE AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GIARDINA",
        "authorized_official_first_name": "PAM",
        "authorized_official_title_or_position": "VP PROGRAMS-SOUTHERN AZ",
        "authorized_official_telephone_number": "520-296-8255",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS, LPC"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "AZ",
            "license": "LCSW-11535",
            "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 Aug 22, 2020; 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.