Individual provider Active NPI

Megan Paddock, LCSW

  • Clinical Social Worker
  • Tucson, AZ
National Provider Identifier
1386009470
Registry record updated May 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW18635 Issued in AZ
Practice address
1400 N Wilmot Rd
Tucson, AZ 85712-4498
Phone
(520) 582-5134
Fax
(520) 000-0000
NPI assigned
Dec 16, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCSW18635 AZ Primary

Addresses

Primary practice location

1400 N Wilmot Rd
Tucson, AZ 85712-4498

Mailing address

530 N Gollob Rd
Tucson, AZ 85710-3027
Phone (520) 582-5134

Other practice location 1

530 N Gollob Rd
Tucson, AZ 85710-3027
Phone (520) 582-5134

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
LCSW18635AZMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1450224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590710400000",
    "number": "1386009470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 N GOLLOB RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857103027",
            "telephone_number": "520-582-5134",
            "fax_number": "520-000-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 N WILMOT RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857124498",
            "telephone_number": "520-582-5134",
            "fax_number": "520-000-0000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "530 N Gollob Rd",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857103027",
            "country_code": "US",
            "telephone_number": "520-582-5134",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PADDOCK",
        "first_name": "MEGAN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-16",
        "last_updated": "2020-05-29",
        "certification_date": "2020-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "LCSW18635",
            "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 May 29, 2020; 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.