Individual provider Active NPI

Mary Hayward

  • Clinical Social Worker
  • Tucson, AZ
National Provider Identifier
1407126592
Registry record updated Jan 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW12081 Issued in AZ
Practice address
434 E University Blvd Ste 200
Tucson, AZ 85705-7851
Phone
(520) 670-3909
Fax
(520) 309-2560
NPI assigned
Jan 5, 2012
Last updated
Jan 23, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2025

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 LCSW12081 AZ Primary

Addresses

Primary practice location

434 E University Blvd Ste 200
Tucson, AZ 85705-7851

Mailing address

839 W Congress St
Tucson, AZ 85745-2819
Phone (520) 670-3909

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
I20190109001479 AZ Practitioner - Clinical Social Worker 6406192624 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

839 W Congress St
Tucson, AZ 85745-2819
Phone (520) 670-3909

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW12081AZMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
El Rio Santa Cruz Neighborhood Health Center, Inc CurrentSince Nov 26, 2018 Accepting new patients
El Rio Santa Cruz Neighborhood Health Center, Inc CurrentSince Nov 26, 2018 Accepting new patients

Locations

101 W Irvington Rd
Tucson, AZ 85714
Phone (520) 573-0096

1500 W Commerce Ct
Bldg 1
Tucson, AZ 85746
Phone (520) 309-3006

320 W Prince Rd
Tucson, AZ 85705
Phone (520) 838-7663

3655 E Grant Rd
Tucson, AZ 85716

434 E University Blvd
Ste 200
Tucson, AZ 85705

6950 E Golf Links Rd
Tucson, AZ 85730
Phone (520) 309-3210

7490 S Camino de Oeste
Tucson, AZ 85746
Phone (520) 879-6039

839 W Congress St
Tucson, AZ 85745
Phone (520) 670-3707

Organizations & group practices 2

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": "1325721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737590400000",
    "number": "1407126592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "839 W CONGRESS ST",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857452819",
            "telephone_number": "520-670-3909",
            "fax_number": "520-309-2560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "434 E UNIVERSITY BLVD STE 200",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857057851",
            "telephone_number": "520-670-3909",
            "fax_number": "520-309-2560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYWARD",
        "first_name": "MARY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-05",
        "last_updated": "2025-01-23",
        "certification_date": "2025-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "LCSW12081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.