Active NPI
Cindy L. Tatum, CSMW, Inc.
- Clinical Social Worker
- Peoria, AZ
National Provider Identifier
1417093246
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW-2401
- 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
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, LCSW
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | LCSW-2401 | AZ | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LCSW-2401 | AZ | |
| Mental Health Counselor | 101YM0800X | LCSW-2401 | AZ | |
| Professional Counselor | 101YP2500X | LCSW-2401 | AZ | |
| Social Worker | 104100000X | LCSW-2401 | AZ | |
| Clinical Social Worker | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 915069 | Other | AZ | AHCCCS PROVIDER NUMBER |
Other names 1
- CLTatum & Associates
National Provider Directory
National Provider Directory- Tax ID family
- Cindy L Tatum CSMW Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Mental Health Counselor
- Glendale, AZ
- NPI 1578853735
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Peoria, AZ
- NPI 1700066222
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.