Active NPI
Angela C. Demaio, LCSW, LISAC
- Clinical Social Worker
- Davis Monthan Afb, AZ
National Provider Identifier
1346258415
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW-11312
- 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
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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| LISAC-10968 | AZ | MD | Addiction (Substance Use Disorder) Counselor |
| LCSW-11312 | AZ | MD | Clinical 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.