Marcus Aurelius De Volder

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW-18671 Issued in AZ

Practice address

8110 E Speedway Blvd Apt 8391
Tucson, AZ 85710-1782

Phone

(520) 400-9859

NPI assigned

Jul 21, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sondermind Provider Network LLCGroup PAC ID 9537572490, 1,295 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Sondermind Provider Network LLC

  • Clinical Social Worker
  • Denver, CO
  • NPI 1760854442

  AZ

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1595289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595289600000",
    "number": "1689282097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8110 E SPEEDWAY BLVD APT 8391",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857101782",
            "telephone_number": "520-400-9859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8110 E SPEEDWAY BLVD APT 8391",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857101782",
            "telephone_number": "520-400-9859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE VOLDER",
        "first_name": "MARCUS",
        "middle_name": "AURELIUS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-07-21",
        "last_updated": "2020-07-21",
        "certification_date": "2020-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "LCSW-18671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina De Los Santos
• Kristina Ranae De Los Santos, PHARM.D.
• Cristina Jane De Nitto, C.C.P.
• De Novo Wellness Center
• Robyn Marie De Stefano, R.P.A.-C.
• Brannan M De Voto Noonan
• Elizabeth De Vries, M.S.
• Mark Deacon
• Kyle Deacy
• Jessica Deahl, L.AC.

• Clinical Social Worker in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Clinical Social Worker in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.