Psychotherapy & Organizational Development LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW-0011 Issued in AZ

Legal business name

PSYCHOTHERAPY & ORGANIZATIONAL DEVELOPMENT LLC

Practice address

350 S Williams Blvd
Ste 140
Tucson, AZ 85711-7416

Phone

(520) 519-8475

Fax

(520) 519-8476

NPI assigned

Jul 20, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Carlton Frederic Clark, LCSW

Title

Owner

Phone

(520) 519-8475

Specialties & licenses 1

Addresses

Other names 1

• Carlton F 'Perk' Clark, LCSW Doing business as

Locations

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1205856101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 S WILLIAMS BLVD",
            "address_2": "STE 140",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857117416",
            "telephone_number": "520-519-8475",
            "fax_number": "520-519-8476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 S WILLIAMS BLVD",
            "address_2": "STE 140",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857117416",
            "telephone_number": "520-519-8475",
            "fax_number": "520-519-8476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHOTHERAPY & ORGANIZATIONAL DEVELOPMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "CARLTON",
        "authorized_official_middle_name": "FREDERIC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "520-519-8475",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "LCSW-0011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carlton F 'Perk' Clark, LCSW",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Laura K Przymus, SLP
• Psych Network P.C.
• Psyche PLLC
• Psyched by Pife
• Psychological and Biofeedback Services Inc
• Carrie Lee Ptacin, MS OTR/L
• Christopher Puca, MD
• Albert Puckett, PT, MPT
• Shelia Jane Puckett, M.S. CCC-SLP
• Dorota E Pucyk, M.D.

• Clinical Social Worker in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Clinical Social Worker in Arizona

• 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.