Active NPI
Barbara M Pease, LCSW
- Social Worker
- Tucson, AZ
National Provider Identifier
1740389063
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 11623
- Practice address
- 2800 E Ajo Way
Tucson, AZ 85713-6204 - Phone
- (520) 874-2000
- NPI assigned
- Sep 22, 2006
- Last updated
- Jan 14, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 11623 | AZ | Primary |
Addresses
Primary practice location
2800 E Ajo Way
Tucson, AZ 85713-6204
Mailing address
2701 E Elvira Rd
Tucson, AZ 85706-7124
Phone (520) 874-4135
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 191959 | Medicaid | AZ | |
| P00387421 | Other | AZ | RAILROAD MEDICARE |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 11623 | AZ | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tucson Psychiatry PLLC | Current | Accepting new patients | |
| Banner-University Medical Group | Past | Accepting new patients |
Locations
1500 N Wilmot Rd
Ste A200
Tucson, AZ 85712
Phone (520) 873-8562
Organizations & group practices 2
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Tucson, AZ
- NPI 1285473249
-
- Multi-Specialty Clinic/Center
- Phoenix, AZ
- NPI 1508809427
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1200268800000",
"number": "1740389063",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2701 E ELVIRA RD",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857067124",
"telephone_number": "520-874-4135",
"fax_number": "520-874-7048"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2800 E AJO WAY",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857136204",
"telephone_number": "520-874-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEASE",
"first_name": "BARBARA",
"middle_name": "M",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-22",
"last_updated": "2008-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "AZ",
"license": "11623",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "191959",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00387421",
"state": "AZ"
}
],
"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 Jan 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.