Individual provider Active NPI

Seton Gruneisen

  • Clinical Social Worker
  • Tucson, AZ
National Provider Identifier
1255904827
Registry record updated Jul 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW-19636 Issued in AZ
Practice address
502 W 29TH St
Tucson, AZ 85713-3353
Phone
(520) 884-9920
NPI assigned
Jul 21, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2021

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-19636 AZ Primary

Addresses

Primary practice location

502 W 29TH St
Tucson, AZ 85713-3353

Mailing address

504 W 29TH St
Tucson, AZ 85713-3353
Phone (520) 838-5600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211013003457 AZ Practitioner - Clinical Social Worker 3971901448 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Marana Health Center IncGroup PAC ID 2365348091, 114 clinicians

Practice addresses (Care Compare)

13395 N Marana Main St
BLDG B
Marana, AZ 85653-7008
Phone (520) 682-1091

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Marana Health Center Inc CurrentSince May 1, 2023 Accepting new patients
Marana Health Center, Inc CurrentSince May 1, 2023 Accepting new patients
Sondermind Provider Network LLC Clinical CurrentSince May 5, 2023 Accepting new patients
Growth Space Therapy LLC Current Accepting new patients
Lafrontera Center Inc. PastSince Jul 21, 2024 Accepting new patients
Marana Health Center, Inc Past Accepting new patients

Locations

13395 N Marana Main St
Marana, AZ 85653
Phone (520) 616-6200

5224 W Dove Centre Rd
Marana, AZ 85658
Phone (520) 616-1445

13395 N Marana Main St
Bldg B
Marana, AZ 85653
Phone (520) 682-1091

20 E Thomas Rd
Ste 2200
Phoenix, AZ 85012
Phone (310) 515-8113

2945 W Ina Rd
Ste 215
Tucson, AZ 85741

1707 W Saint Marys Rd
Ste 175
Tucson, AZ 85745
Phone (520) 616-6790

2945 W Ina Rd
Ste 215221
Tucson, AZ 85741
Phone (520) 616-1531

2325 N Wyatt Dr
Tucson, AZ 85712
Phone (520) 616-1510

899 N Wilmot Rd
Ste B
Tucson, AZ 85711
Phone (520) 290-1100

16701 N Oracle Rd
Ste 135
Tucson, AZ 85739
Phone (520) 682-1095

3690 S Park Ave
Ste 805
Tucson, AZ 85713
Phone (520) 616-1560

Interoperability endpoints

  • Direct secure messaging: seton.gruneisen.1@32652.direct.athenahealth.com

Organizations & group practices 6

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": "1626825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626825600000",
    "number": "1255904827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 W 29TH ST",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857133353",
            "telephone_number": "520-838-5600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 W 29TH ST",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857133353",
            "telephone_number": "520-884-9920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRUNEISEN",
        "first_name": "SETON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-07-21",
        "last_updated": "2021-07-21",
        "certification_date": "2021-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "LCSW-19636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.