Individual provider Active NPI

Nicholas Eckley, LCSW

  • Clinical Social Worker
  • Tucson, AZ
National Provider Identifier
1710642160
Registry record updated Nov 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW-19080 Issued in AZ
Practice address
8226 S Placita del Parque
Tucson, AZ 85747-5244
Phone
(520) 437-7250
NPI assigned
Nov 1, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 1, 2021

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-19080 AZ Primary

Addresses

Primary practice location

8226 S Placita del Parque
Tucson, AZ 85747-5244

Mailing address

8226 S Placita del Parque
Tucson, AZ 85747-5244
Phone (520) 437-7250

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20250825002705 AZ Practitioner - Clinical Social Worker 1658871553 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1230 S Cherrybell Stra
Tucson, AZ 85713-1907
Phone (520) 670-3909

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW-19080AZMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
El Rio Santa Cruz Neighborhood Health Center, Inc CurrentSince Aug 1, 2025 Accepting new patients
El Rio Santa Cruz Neighborhood Health Center, Inc CurrentSince Aug 1, 2025 Accepting new patients
El Rio Santa Cruz Neighborhood Health Center, Inc Current Accepting new patients

Locations

1230 S Cherrybell Stra
Tucson, AZ 85713
Phone (520) 310-7316

839 W Congress St
Tucson, AZ 85745
Phone (520) 670-3707

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1635724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635724800000",
    "number": "1710642160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8226 S PLACITA DEL PARQUE",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857475244",
            "telephone_number": "520-437-7250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8226 S PLACITA DEL PARQUE",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857475244",
            "telephone_number": "520-437-7250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ECKLEY",
        "first_name": "NICHOLAS",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-11-01",
        "last_updated": "2021-11-01",
        "certification_date": "2021-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "LCSW-19080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.