Joanne Cacciatore, PHD
Individual provider Active NPI Social Worker · Sedona, AZ
NPI 1649585290 · NPPES record last updated Aug 6, 2010
Key facts
- NPI
- 1649585290
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 11914 (AZ)
- Practice address
- 490 Brewer Rd
Sedona, AZ 86336-6003 - Phone
- (623) 979-1000
- NPI assigned
- Aug 6, 2010
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11914 | AZ | MD | Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 11914 | AZ | Yes |
Addresses
Primary practice location
490 Brewer Rd
Sedona, AZ 86336-6003
Mailing address
490 Brewer Road
Sedona, AZ 86336
Phone (623) 979-1000
Other providers in Sedona, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 6, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.