Individual provider Active NPI

Lorraine A Myro, LCSW

  • Clinical Social Worker
  • Tucson, AZ
National Provider Identifier
1417788498
Registry record updated Aug 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW-21636 Issued in AZ
Practice address
48 N Tucson Blvd Ste 106
Tucson, AZ 85716-4756
Phone
(215) 908-2811
NPI assigned
Aug 12, 2024
Last updated
Aug 12, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2024

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 LCSW-21636 AZ Primary

Addresses

Primary practice location

48 N Tucson Blvd Ste 106
Tucson, AZ 85716-4756

Mailing address

7342 E Placita Antigua
Tucson, AZ 85710-3706
Phone (215) 908-2811

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
I20260617000556 AZ Practitioner - Clinical Social Worker 5496297251 Practice locations: Tucson, AZ

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3071 N Swan Rd
Tucson, AZ 85712-1259
Phone (215) 908-2811

4218 E Wading Pond Dr
Tucson, AZ 85712-6630

7342 E Placita Antigua
Tucson, AZ 85710-3706

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW-21636AZMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1723420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723420800000",
    "number": "1417788498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7342 E PLACITA ANTIGUA",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857103706",
            "telephone_number": "215-908-2811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 N TUCSON BLVD STE 106",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857164756",
            "telephone_number": "215-908-2811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYRO",
        "first_name": "LORRAINE",
        "middle_name": "A",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-12",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "LCSW-21636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.