Individual provider Active NPI

Arthur Kilduff

  • Social Worker
  • Phoenix, AZ
National Provider Identifier
1417128661
Registry record updated Nov 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
LCSW-18120 Issued in AZ
Practice address
3141 N 3Rd Ave
Phoenix, AZ 85013-4360
Phone
(602) 914-1520
NPI assigned
Mar 17, 2008
Last updated
Nov 26, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 26, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X LCSW-18120 AZ Primary

Addresses

Primary practice location

3141 N 3Rd Ave
Phoenix, AZ 85013-4360

Mailing address

2929 E Thomas Rd
Phoenix, AZ 85016-8034
Phone (602) 470-5000

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
I20191219001262 AZ Practitioner - Clinical Social Worker 0840337911 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW-18120AZMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
District Medical Group, Inc CurrentSince Oct 15, 2019 Accepting new patients
District Medical Group, Inc CurrentSince Oct 15, 2019 Accepting new patients
District Medical Group, Inc Current Accepting new patients
Brightside Medical, P.a. CurrentSince Apr 1, 2023 Accepting new patients
Sondermind Provider Network LLC Clinical CurrentSince May 30, 2023 Accepting new patients
The Shield of David, Inc. PastSince Jan 11, 1996 Accepting new patients

Locations

840 E McKellips Rd
Ste 110
Mesa, AZ 85203
Phone (602) 470-5520

20 E Thomas Rd
Ste 2200
Phoenix, AZ 85012
Phone (310) 515-8113

2929 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 470-5043

3104 E Camelback Rd
Phoenix, AZ 85016
Phone (928) 504-4700

3141 N 3rd Ave
Phoenix, AZ 85013
Phone (602) 914-1520

2261 Market St
San Francisco, CA 94114
Phone (213) 337-4615

Organizations & group practices 6

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": "1205712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574726400000",
    "number": "1417128661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2929 E THOMAS RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850168034",
            "telephone_number": "602-470-5000",
            "fax_number": "602-470-5064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3141 N 3RD AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850134360",
            "telephone_number": "602-914-1520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILDUFF",
        "first_name": "ARTHUR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-03-17",
        "last_updated": "2019-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "AZ",
            "license": "LCSW-18120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.