Active NPI
Daniel Martyn Altig
- Social Worker
- Tucson, AZ
National Provider Identifier
1265912380
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- LMSW-17188
- Practice address
- Savahcs, 3601 South 6TH Ave
Tucson, AZ 85723 - Phone
- (520) 792-1450
- NPI assigned
- Aug 17, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 17188 | AZ | |
| Social Worker | 104100000X | LMSW-17188 | AZ | Primary |
Addresses
Primary practice location
Savahcs, 3601 South 6TH Ave
Tucson, AZ 85723
Mailing address
564 E Sterling Canyon Dr
Vail, AZ 85641-2292
Phone (315) 405-1622
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 |
|---|---|---|---|
| LMSW-17188 | AZ | MD | Social Worker |
| 17188 | AZ | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534464000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1575590400000",
"number": "1265912380",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "564 E STERLING CANYON DR",
"city": "VAIL",
"state": "AZ",
"postal_code": "856412292",
"telephone_number": "315-405-1622"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "SAVAHCS, 3601 SOUTH 6TH AVE",
"city": "TUCSON",
"state": "AZ",
"postal_code": "85723",
"telephone_number": "520-792-1450"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALTIG",
"first_name": "DANIEL",
"middle_name": "MARTYN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-08-17",
"last_updated": "2019-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "AZ",
"license": "17188",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "AZ",
"license": "LMSW-17188",
"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 Dec 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.