Individual provider Active NPI

Norma Magdaleno, LCSW

  • Clinical Social Worker
  • Tucson, AZ
National Provider Identifier
1386641124
Registry record updated Jan 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW11577 Issued in AZ
Practice address
3045 N 1St Ave
Ste a
Tucson, AZ 85719-2560
Phone
(520) 326-8953
NPI assigned
Jul 7, 2005
Last updated
Jan 22, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCSW11577 AZ Primary
School Social Worker 1041S0200X I-05879 NM

Addresses

Primary practice location

3045 N 1St Ave
Ste a
Tucson, AZ 85719-2560

Mailing address

3045 N 1St Ave
Ste a
Tucson, AZ 85719-2560
Phone (520) 326-8953

Other identifiers 1

IdentifierTypeStateIssuer
39375072MedicaidNM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151020000492 AZ Practitioner - Clinical Social Worker 4981913647 Practice locations: Tucson, AZ

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1014 N Country Club Rd
Tucson, AZ 85716-4239
Phone (520) 303-1697

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW11577AZMDClinical Social Worker
I-05879NMMDSchool Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
St Elizabeths Health Center Inc CurrentSince Sep 14, 2015 Accepting new patients
Catholic Community Services of Southern Arizona, Inc. Current Accepting new patients
Arizona Center for Innovative Stress & Trauma Treatment LLC CurrentSince Oct 17, 2023 Accepting new patients

Locations

1014 N Country Club Rd
Tucson, AZ 85716
Phone (520) 303-1697

140 W Speedway Blvd
Ste 100
Tucson, AZ 85705
Phone (520) 628-7871

2913 E 22nd St
Tucson, AZ 85713
Phone (520) 303-1697

Organizations & group practices 3

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": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453420800000",
    "number": "1386641124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3045 N 1ST AVE",
            "address_2": "STE A",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857192560",
            "telephone_number": "520-326-8953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3045 N 1ST AVE",
            "address_2": "STE A",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857192560",
            "telephone_number": "520-326-8953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGDALENO",
        "first_name": "NORMA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-07",
        "last_updated": "2016-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "LCSW11577",
            "primary": true
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "NM",
            "license": "I-05879",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39375072",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.