Individual provider Active NPI

Alicia Renee Schoephoerster, DBH, LCSW

  • Clinical Social Worker
  • Tucson, AZ
National Provider Identifier
1144609934
Registry record updated May 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW-23569 Issued in AZ
Practice address
6810 E Broadway Blvd Ste 101
Tucson, AZ 85710-2835
Phone
(623) 499-3218
NPI assigned
May 26, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2026

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-23569 AZ Primary

Addresses

Primary practice location

6810 E Broadway Blvd Ste 101
Tucson, AZ 85710-2835

Mailing address

6355 S Desert Peak Dr
Tucson, AZ 85706-0116
Phone (520) 334-8455

Other practice location 1

3038 E Cactus Rd Ste 2
Phoenix, AZ 85032-7150
Phone (623) 499-3218

Other names 1

  • Alicia Renee Wycoff Former name

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-23569AZMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Selah Counseling Center LLC Clinical Current Accepting new patients

Locations

3038 E Cactus Rd
Ste 2
Phoenix, AZ 85032
Phone (623) 499-3218

6810 E Broadway Blvd
Ste 102
Tucson, AZ 85710
Phone (520) 302-4116

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": "1432598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779235200000",
    "number": "1144609934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6355 S DESERT PEAK DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857060116",
            "telephone_number": "520-334-8455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6810 E BROADWAY BLVD STE 101",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857102835",
            "telephone_number": "623-499-3218"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3038 E Cactus Rd Ste 2",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850327150",
            "country_code": "US",
            "telephone_number": "623-499-3218",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHOEPHOERSTER",
        "first_name": "ALICIA",
        "middle_name": "RENEE",
        "name_prefix": "Dr.",
        "credential": "DBH, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-26",
        "last_updated": "2026-05-20",
        "certification_date": "2026-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "LCSW-23569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALICIA",
            "last_name": "WYCOFF",
            "middle_name": "RENEE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 May 20, 2026; 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.