Active NPI
Peter B. McCaffrey, M.S.W
- Clinical Social Worker
- Tucson, AZ
National Provider Identifier
1770529463
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW-16871
- Practice address
- 1501 W Commerce CT
Tucson, AZ 85746-6016 - Phone
- (520) 741-3180
- NPI assigned
- Jun 21, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LISAC-15117 | AZ | |
| Clinical Social Worker | 1041C0700X | LCSW-16871 | AZ | Primary |
Addresses
Primary practice location
1501 W Commerce CT
Tucson, AZ 85746-6016
Mailing address
1477 W Commerce CT
Tucson, AZ 85746-6016
Phone (520) 792-3293
Other practice location 1
395 Main St
Hackensack, NJ 07601-5806
Phone (201) 646-0333
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 |
|---|---|---|---|
| LISAC-15117 | AZ | MD | Addiction (Substance Use Disorder) Counselor |
| LCSW-16871 | AZ | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| HLGL LLC | 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 and National Provider Directory roles.
-
- Substance Abuse Rehabilitation Facility
- Tucson, AZ
- NPI 1295120319
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150848000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557705600000",
"number": "1770529463",
"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": "1501 W COMMERCE CT",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857466016",
"telephone_number": "520-741-3180"
}
],
"practiceLocations": [
{
"address_1": "395 Main St",
"address_purpose": "LOCATION",
"city": "Hackensack",
"state": "NJ",
"postal_code": "076015806",
"country_code": "US",
"telephone_number": "201-646-0333",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCCAFFREY",
"first_name": "PETER",
"middle_name": "B.",
"name_prefix": "Mr.",
"credential": "M.S.W",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-21",
"last_updated": "2019-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "AZ",
"license": "LISAC-15117",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "AZ",
"license": "LCSW-16871",
"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 May 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.