Individual provider Active NPI

Angela C. Demaio, LCSW, LISAC

  • Clinical Social Worker
  • Davis Monthan Afb, AZ
National Provider Identifier
1346258415
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW-11312 Issued in AZ
Practice address
5380 E Kachina St
BLDG. 4220
Davis Monthan Afb, AZ 85707-4923
Phone
(520) 228-2104
NPI assigned
Aug 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X LISAC-10968 AZ
Clinical Social Worker 1041C0700X LCSW-11312 AZ Primary

Addresses

Primary practice location

5380 E Kachina St
BLDG. 4220
Davis Monthan Afb, AZ 85707-4923

Mailing address

1339 E Fort Lowell Rd
Apt. D
Tucson, AZ 85719-2217
Phone (520) 323-2448

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

LicenseStateTypeSpecialty
LISAC-10968AZMDAddiction (Substance Use Disorder) Counselor
LCSW-11312AZMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1346258415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1339 E FORT LOWELL RD",
            "address_2": "APT. D",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857192217",
            "telephone_number": "520-323-2448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5380 E KACHINA ST",
            "address_2": "BLDG. 4220",
            "city": "DAVIS MONTHAN AFB",
            "state": "AZ",
            "postal_code": "857074923",
            "telephone_number": "520-228-2104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMAIO",
        "first_name": "ANGELA",
        "middle_name": "C.",
        "name_prefix": "Ms.",
        "credential": "LCSW, LISAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-04",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "AZ",
            "license": "LISAC-10968",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "LCSW-11312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davis Monthan Afb, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.