Individual provider Active NPI

Lynn Gransie Barwick, LCSW

  • Clinical Social Worker
  • Tucson, AZ
National Provider Identifier
1699742981
Registry record updated Sep 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW-1292 Issued in AZ
Practice address
4850 N Fontana Ave
Tucson, AZ 85704-5754
Phone
(520) 405-9011
Fax
(520) 624-6977
NPI assigned
Mar 5, 2006
Last updated
Sep 12, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCSW-1292 AZ Primary

Addresses

Primary practice location

4850 N Fontana Ave
Tucson, AZ 85704-5754

Mailing address

4850 N Fontana Ave
Tucson, AZ 85704-5754
Phone (520) 405-9011

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW-1292AZMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Old Pueblo Counseling, Incorporated Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1141516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347408000000",
    "number": "1699742981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4850 N FONTANA AVE",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857045754",
            "telephone_number": "520-405-9011",
            "fax_number": "520-624-6977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4850 N FONTANA AVE",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857045754",
            "telephone_number": "520-405-9011",
            "fax_number": "520-624-6977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARWICK",
        "first_name": "LYNN",
        "middle_name": "GRANSIE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-05",
        "last_updated": "2012-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "LCSW-1292",
            "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 Sep 12, 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.

Verify at the official NPI Registry.