Center for Loss and Trauma

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

LMSW11914 Issued in AZ

Legal business name

CENTER FOR LOSS AND TRAUMA

Practice address

2525 W Carefree Hwy # 7-148
Phoenix, AZ 85085-6093

Phone

(623) 979-1000

NPI assigned

Mar 22, 2010

Last updated

Mar 22, 2010By the provider in NPPES

Organization subpart

Yes

Parent organization

MISS FOUNDATIONAs reported in NPPES

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

Authorized official

Name

Dr. Joanne Cacciatore, PHD, FT, LMSWNPI 1649585290

Title

Director

Phone

(602) 574-1000

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Joanne Cacciatore, PHD

  • Social Worker
  • Sedona, AZ
  • NPI 1649585290
  Authorized official Same address or phone

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

{
    "created_epoch": "1269216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269216000000",
    "number": "1407170335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 W CAREFREE HWY # 7-148",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850856093",
            "telephone_number": "623-979-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 W CAREFREE HWY # 7-148",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850856093",
            "telephone_number": "623-979-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR LOSS AND TRAUMA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MISS FOUNDATION",
        "enumeration_date": "2010-03-22",
        "last_updated": "2010-03-22",
        "status": "A",
        "authorized_official_last_name": "CACCIATORE",
        "authorized_official_first_name": "JOANNE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "602-574-1000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, FT, LMSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "AZ",
            "license": "LMSW11914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2010; 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.