Active NPI
Ward B Townsend, LCSW
- Clinical Social Worker
- Tucson, AZ
National Provider Identifier
1316111818
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW1548
- Practice address
- 5981 E Grant Rd
Suite 115
Tucson, AZ 85712 - Phone
- (520) 886-5315
- Fax
- (520) 298-8204
- NPI assigned
- Apr 15, 2008
- Last updated
- Jun 27, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCSW1548 | AZ | Primary |
Addresses
Primary practice location
5981 E Grant Rd
Suite 115
Tucson, AZ 85712
Mailing address
PO Box 43100
Tucson, AZ 85733-3100
Phone (520) 722-3777
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LCSW1548 | Other | AZ | LICENSE |
| 328413 | Medicaid | AZ |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCSW1548 | AZ | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Old Pueblo Healthcare LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208217600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1214524800000",
"number": "1316111818",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 43100",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857333100",
"telephone_number": "520-722-3777",
"fax_number": "520-296-6224"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5981 E GRANT RD",
"address_2": "SUITE 115",
"city": "TUCSON",
"state": "AZ",
"postal_code": "85712",
"telephone_number": "520-886-5315",
"fax_number": "520-298-8204"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOWNSEND",
"first_name": "WARD",
"middle_name": "B",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-04-15",
"last_updated": "2008-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "AZ",
"license": "LCSW1548",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "LCSW1548",
"state": "AZ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "328413",
"state": "AZ"
}
],
"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 Jun 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.