Active NPI
Peggy Ann Davis, LCSW
- Clinical Social Worker
- Tucson, AZ
National Provider Identifier
1386900314
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW-13379
- Practice address
- 3057 S Kinney Rd
Tucson, AZ 85713-5537 - Phone
- (520) 395-0179
- Fax
- (520) 300-8342
- NPI assigned
- Apr 4, 2012
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCSW-13379 | AZ | Primary |
Addresses
Primary practice location
3057 S Kinney Rd
Tucson, AZ 85713-5537
Mailing address
3571 S Double Echo Rd
Tucson, AZ 85735-5130
Phone (520) 395-0179
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LCSW-13379 | Other | AZ | STATE LICENSE |
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 |
|---|---|---|---|
| LCSW-13379 | AZ | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1333497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1362787200000",
"number": "1386900314",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3571 S DOUBLE ECHO RD",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857355130",
"telephone_number": "520-395-0179",
"fax_number": "520-300-8342"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3057 S KINNEY RD",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857135537",
"telephone_number": "520-395-0179",
"fax_number": "520-300-8342"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "PEGGY",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-04-04",
"last_updated": "2013-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "AZ",
"license": "LCSW-13379",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "LCSW-13379",
"state": "AZ"
}
],
"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 Mar 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.