Kelli Marie Gacic

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW-17607 Issued in AZ

Practice address

924 N Alvernon Way Ste 110
Tucson, AZ 85711-1066

Phone

(520) 207-9348

Fax

(520) 345-5980

NPI assigned

Jan 23, 2019

Last updated

Sep 18, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Kelli Marie Romero Former name

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

Specialty

Clinical Social Worker

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Tucson Counseling Associates LLCGroup PAC ID 9032500285, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Tucson Counseling Associates, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Tucson, AZ
  • NPI 1013545144
  Medicare reassignment Care Compare group NPD
• Tucson Counseling Associates, LLC

  • Mental Health Counselor
  • Tucson, AZ
  • NPI 1821739152
  NPD
• Cope Community Services, Inc.

  • Mental Illness Community Based Residential Treatment Facility
  • Tucson, AZ
  • NPI 1962574988
  NPD (past)

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

{
    "created_epoch": "1548201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726617600000",
    "number": "1760946891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1477 W COMMERCE CT",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857466016",
            "telephone_number": "520-792-3293",
            "fax_number": "520-792-4336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "924 N ALVERNON WAY STE 110",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857111066",
            "telephone_number": "520-207-9348",
            "fax_number": "520-345-5980"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2224 N Craycroft Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857122811",
            "country_code": "US",
            "telephone_number": "520-896-1400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6303 E Tanque Verde Rd Ste 210",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857153859",
            "country_code": "US",
            "telephone_number": "520-423-5600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GACIC",
        "first_name": "KELLI",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-23",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "LCSW-17607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLI",
            "last_name": "ROMERO",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jodi K Gabriel, APRN
• Jonathan Gabriel, DO
• Serena Gabriel, L.AC.
• Tamara Lynn Gabriel, LMT
• Gabriel's Comfort Haven LLC
• Jaclyn Gadbois, M.D.
• Sai Teja Gadde, M.D.
• Erica Gadzik
• Joel Gaffney, PH.D.
• Robin Louise Gaffney, M.S., CCC-SLP

• Clinical Social Worker in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Clinical Social Worker in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.