Active NPI
Family Resources Inc.
- Clinical Social Worker
- Tempe, AZ
National Provider Identifier
1699011791
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- FAMILY RESOURCES INC.
- Practice address
- 2101 E Broadway Rd
Ste. 25
Tempe, AZ 85282-1879 - Phone
- (480) 921-3711
- Fax
- (480) 921-0307
- NPI assigned
- Dec 17, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. William Lowell Bradley, LCSW
- Title
- Director
- Phone
- (480) 921-3711
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary | ||
| Marriage & Family Therapist | 106H00000X |
Addresses
Primary practice location
2101 E Broadway Rd
Ste. 25
Tempe, AZ 85282-1879
Mailing address
2101 E Broadway Rd
Ste. 25
Tempe, AZ 85282-1879
Phone (480) 921-3711
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2101 E Broadway Rd
Ste 25
Tempe, AZ 85282
Phone (480) 921-3711
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1355702400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1355702400000",
"number": "1699011791",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2101 E BROADWAY RD",
"address_2": "STE. 25",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852821879",
"telephone_number": "480-921-3711",
"fax_number": "480-921-0307"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2101 E BROADWAY RD",
"address_2": "STE. 25",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852821879",
"telephone_number": "480-921-3711",
"fax_number": "480-921-0307"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAMILY RESOURCES INC.",
"organizational_subpart": "NO",
"enumeration_date": "2012-12-17",
"last_updated": "2012-12-17",
"status": "A",
"authorized_official_last_name": "BRADLEY",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "LOWELL",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "480-921-3711",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tempe, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.