Organization Active NPI

Cindy L. Tatum, CSMW, Inc.

  • Clinical Social Worker
  • Peoria, AZ
National Provider Identifier
1417093246
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW-2401 Issued in AZ
Legal business name
CINDY L. TATUM, CSMW, INC.
Doing business as
CLTatum & Associates
Practice address
8657 W Rowel Rd
Peoria, AZ 85383-3708
Phone
(623) 876-2029
Fax
(623) 933-7729
NPI assigned
Jan 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Ms. Cindy Lou Tatum-Shipley, MSW, LCSWNPI 1700066222
Title
Executive Director
Phone
(623) 876-2029

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X LCSW-2401 AZ
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X LCSW-2401 AZ
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X LCSW-2401 AZ
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X LCSW-2401 AZ
Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 104100000X LCSW-2401 AZ
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X LCSW-2401 AZ Primary

Addresses

Primary practice location

8657 W Rowel Rd
Peoria, AZ 85383-3708

Mailing address

PO Box 5160
Peoria, AZ 85385-5160
Phone (623) 876-2029

Other identifiers 1

IdentifierTypeStateIssuer
915069OtherAZAHCCCS PROVIDER NUMBER

Other names 1

  • CLTatum & Associates Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Cindy L Tatum CSMW Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1417093246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5160",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853855160",
            "telephone_number": "623-876-2029",
            "fax_number": "623-933-7729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8657 W ROWEL RD",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853833708",
            "telephone_number": "623-876-2029",
            "fax_number": "623-933-7729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CINDY L. TATUM, CSMW, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-29",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "TATUM-SHIPLEY",
        "authorized_official_first_name": "CINDY",
        "authorized_official_middle_name": "LOU",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "623-876-2029",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": "AZ",
            "license": "LCSW-2401",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "AZ",
            "license": "LCSW-2401",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "LCSW-2401",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LCSW-2401",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": "AZ",
            "license": "LCSW-2401",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "LCSW-2401",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCCCS PROVIDER NUMBER",
            "identifier": "915069",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CLTatum & Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Peoria, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.