Active NPI
David Jensen, LCSW
- Clinical Social Worker
- Tucson, AZ
National Provider Identifier
1225650211
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 16918
- Practice address
- 1815 W Saint Marys Rd
Tucson, AZ 85745-2653 - Phone
- (480) 390-5391
- NPI assigned
- May 12, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 16918 | AZ | Primary |
Addresses
Primary practice location
1815 W Saint Marys Rd
Tucson, AZ 85745-2653
Mailing address
843 Miller Valley Rd
Prescott, AZ 86301-1855
Phone (928) 224-2228
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
| License | State | Type | Specialty |
|---|---|---|---|
| 16918 | AZ | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1589241600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693872000000",
"number": "1225650211",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "843 MILLER VALLEY RD",
"city": "PRESCOTT",
"state": "AZ",
"postal_code": "863011855",
"telephone_number": "928-224-2228"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1815 W SAINT MARYS RD",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857452653",
"telephone_number": "480-390-5391"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENSEN",
"first_name": "DAVID",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-05-12",
"last_updated": "2023-09-05",
"certification_date": "2023-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "AZ",
"license": "16918",
"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 Sep 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.