Individual provider Active NPI

Jeanne Harvath, LCSW

  • Social Worker
  • Tucson, AZ
National Provider Identifier
1487623872
Registry record updated Feb 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
LCSW0096I Issued in AZ
Practice address
2070 W Rudasill Rd
Ste 130
Tucson, AZ 85704-7891
Phone
(520) 797-4468
Fax
(520) 797-4502
NPI assigned
Mar 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2012

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 LCSW0096I AZ Primary

Addresses

Primary practice location

2070 W Rudasill Rd
Ste 130
Tucson, AZ 85704-7891

Mailing address

1760 E River Rd
350
Tucson, AZ 85718-5999
Phone (520) 519-7775

Other identifiers 1

IdentifierTypeStateIssuer
642349MedicaidAZ

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW0096IAZMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Oncology Associates PC Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1142467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328140800000",
    "number": "1487623872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1760 E RIVER RD",
            "address_2": "350",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857185999",
            "telephone_number": "520-519-7775",
            "fax_number": "520-519-7760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2070 W RUDASILL RD",
            "address_2": "STE 130",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857047891",
            "telephone_number": "520-797-4468",
            "fax_number": "520-797-4502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARVATH",
        "first_name": "JEANNE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-16",
        "last_updated": "2012-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "AZ",
            "license": "LCSW0096I",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "642349",
            "state": "AZ"
        }
    ],
    "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 Feb 2, 2012; 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.