Individual provider Active NPI

Miroslava Laura Oviedo, MSW

  • Clinical Social Worker
  • Tucson, AZ
National Provider Identifier
1447422738
Registry record updated Mar 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LMSW-11376 Issued in AZ
Practice address
160 W Fort Lowell Rd
Tucson, AZ 85705-3812
Phone
(520) 318-3266
Fax
(520) 318-0821
NPI assigned
Mar 27, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X LISAC-11621 AZ
Clinical Social Worker 1041C0700X LMSW-11376 AZ Primary

Addresses

Primary practice location

160 W Fort Lowell Rd
Tucson, AZ 85705-3812

Mailing address

127 S 5TH Ave
Tucson, AZ 85701-2044
Phone (520) 202-1722

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LISAC-11621AZMDAddiction (Substance Use Disorder) Counselor
LMSW-11376AZMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Codac Behavioral Health Services of Pima County, Inc. Past Accepting new patients
Codac Health Recovery and Wellness Past Accepting new patients

Organizations & group practices 2

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": "1206576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206576000000",
    "number": "1447422738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 S 5TH AVE",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857012044",
            "telephone_number": "520-202-1722",
            "fax_number": "520-202-1889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 W FORT LOWELL RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857053812",
            "telephone_number": "520-318-3266",
            "fax_number": "520-318-0821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OVIEDO",
        "first_name": "MIROSLAVA",
        "middle_name": "LAURA",
        "name_prefix": "Ms.",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-27",
        "last_updated": "2008-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "AZ",
            "license": "LISAC-11621",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "LMSW-11376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2008; 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.