Active NPI
Lafe W. Damon, LMSW
- Social Worker
- For Defiance, AZ
National Provider Identifier
1386069136
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 309516-3502
- Practice address
- Corner of Route N12 and N7
Fort Defiance Indian Hospital Board, Inc.
For Defiance, AZ 86504 - Phone
- (928) 729-8000
- NPI assigned
- Mar 3, 2014
- Last updated
- Mar 3, 2014
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 309516-3502 | UT | Primary |
Addresses
Primary practice location
Corner of Route N12 and N7
Fort Defiance Indian Hospital Board, Inc.
For Defiance, AZ 86504
Mailing address
P.O. Box 649
Fort Defiance, AZ 86504
Phone (928) 729-8500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 309516-3502 | UT | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1393804800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1393804800000",
"number": "1386069136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 649",
"city": "FORT DEFIANCE",
"state": "AZ",
"postal_code": "86504",
"telephone_number": "928-729-8500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CORNER OF ROUTE N12 AND N7",
"address_2": "FORT DEFIANCE INDIAN HOSPITAL BOARD, INC.",
"city": "FOR DEFIANCE",
"state": "AZ",
"postal_code": "86504",
"telephone_number": "928-729-8000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAMON",
"first_name": "LAFE",
"middle_name": "W.",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-03-03",
"last_updated": "2014-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "UT",
"license": "309516-3502",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.