Erin Faye Roepcke, LCSW

Individual provider Active NPI Social Worker · Tucson, AZ

NPI 1497487201 · NPPES record last updated Sep 9, 2024

Key facts

NPI
1497487201
Entity type
Individual (NPI type 1)
Primary specialty
Social Worker 104100000X
License
LCSW-22217 (AZ)
Practice address
6632 E Carondelet Dr
Tucson, AZ 85710-2119
Phone
(520) 222-9344
NPI assigned
Jun 29, 2022
Sex
Female
Sole proprietor
No

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.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
LCSW-22217AZMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
With Intention Counseling Current
since Sep 15, 2024
Accepting new patients

Locations

6630 E Carondelet Dr
Tucson, AZ 85710
Phone (520) 675-3076

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X LCSW-22217 AZ Yes

Addresses

Primary practice location

6632 E Carondelet Dr
Tucson, AZ 85710-2119

Mailing address

3444 N Eagle Rd
Tucson, AZ 85750-2500
Phone (520) 222-9344

Other identifiers

IdentifierTypeStateIssuer
LMSW-20311OtherAZAZ BOARD OF BEHAVIORAL HEALTH
LCSW-22217OtherAZARIZONA BOARD OF BEHAVIORAL HEALTH

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 9, 2024.

{
    "created_epoch": "1656460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725840000000",
    "number": "1497487201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3444 N EAGLE RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857502500",
            "telephone_number": "520-222-9344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6632 E CARONDELET DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857102119",
            "telephone_number": "520-222-9344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROEPCKE",
        "first_name": "ERIN",
        "middle_name": "FAYE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-29",
        "last_updated": "2024-09-09",
        "certification_date": "2024-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "AZ",
            "license": "LCSW-22217",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AZ BOARD OF BEHAVIORAL HEALTH",
            "identifier": "LMSW-20311",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARIZONA BOARD OF BEHAVIORAL HEALTH",
            "identifier": "LCSW-22217",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

All providers in Tucson, AZ · Social Worker in Arizona

Sources for this page

Verify at the official NPI Registry.