Compassionate Therapy Services, PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW-13379 Issued in AZ

Legal business name

COMPASSIONATE THERAPY SERVICES, PLLC

Practice address

3057 S Kinney Rd
Tucson, AZ 85713-5537

Phone

(520) 395-0179

Fax

(520) 300-8342

NPI assigned

Apr 8, 2012

Organization subpart

No

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

Authorized official

Name

Ms. Peggy A Davis, LCSW

Title

Owner/Provider

Phone

(520) 395-0179

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1333843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362787200000",
    "number": "1275899858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3571 S DOUBLE ECHO RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857355130",
            "telephone_number": "520-395-0179",
            "fax_number": "520-395-0179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3057 S KINNEY RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857135537",
            "telephone_number": "520-395-0179",
            "fax_number": "520-300-8342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPASSIONATE THERAPY SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-08",
        "last_updated": "2013-03-09",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "PEGGY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "520-395-0179",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "LCSW-13379",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCSW LICENSE",
            "identifier": "LCSW13379",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2013; 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.