Active NPI
Kimberly Shaw Peters, LMSW
- Clinical Social Worker
- Tucson, AZ
National Provider Identifier
1679893739
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW-13639
- Practice address
- 1501 W Commerce CT
Tucson, AZ 85746-6016 - Phone
- (520) 741-3180
- Fax
- (520) 807-2383
- NPI assigned
- Jun 10, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | LMSW-12822 | AZ | |
| Clinical Social Worker | 1041C0700X | LCSW-13639 | AZ | Primary |
Addresses
Primary practice location
1501 W Commerce CT
Tucson, AZ 85746-6016
Mailing address
1501 W Commerce CT
Tucson, AZ 85746-6016
Phone (520) 741-3180
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
| License | State | Type | Specialty |
|---|---|---|---|
| LMSW-12822 | AZ | MD | Social Worker |
| LCSW-13639 | AZ | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1276128000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1349395200000",
"number": "1679893739",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1501 W COMMERCE CT",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857466016",
"telephone_number": "520-741-3180",
"fax_number": "520-807-2383"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 W COMMERCE CT",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857466016",
"telephone_number": "520-741-3180",
"fax_number": "520-807-2383"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETERS",
"first_name": "KIMBERLY",
"middle_name": "SHAW",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-06-10",
"last_updated": "2012-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "AZ",
"license": "LMSW-12822",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "AZ",
"license": "LCSW-13639",
"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 Oct 5, 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.