Individual provider Active NPI

Tidhar Shlomo Ozeri, LCSW

  • Clinical Social Worker
  • Tucson, AZ
National Provider Identifier
1710783618
Registry record updated Feb 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
22815 Issued in AZ
Practice address
360 S Columbus Blvd
Tucson, AZ 85711-4138
Phone
(520) 481-8073
NPI assigned
Feb 21, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 21, 2025

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 22815 AZ Primary

Addresses

Primary practice location

360 S Columbus Blvd
Tucson, AZ 85711-4138

Mailing address

360 S Columbus Blvd
Tucson, AZ 85711-4138
Phone (520) 481-8073

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
22815AZMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Wellbeing Institute Inc Past Accepting new patients
Wellbeing Institute Inc Past Accepting new patients

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, 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": "1740096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740096000000",
    "number": "1710783618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 S COLUMBUS BLVD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857114138",
            "telephone_number": "520-481-8073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 S COLUMBUS BLVD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857114138",
            "telephone_number": "520-481-8073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OZERI",
        "first_name": "TIDHAR",
        "middle_name": "SHLOMO",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-02-21",
        "last_updated": "2025-02-21",
        "certification_date": "2025-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "22815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.