Tomas G. Soto, LBSW-1504

Primary specialty

Social WorkerTaxonomy code 104100000X

License

LBSW-1504 Issued in AZ

Practice address

611 W. Union St.
Benson, AZ 85602

Phone

(520) 586-0800

Fax

(520) 586-0116

NPI assigned

Oct 8, 2010

Last updated

Oct 8, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1286496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286496000000",
    "number": "1801106844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 W. UNION ST.",
            "city": "BENSON",
            "state": "AZ",
            "postal_code": "85602",
            "telephone_number": "520-586-0800",
            "fax_number": "520-586-0116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 W. UNION ST.",
            "city": "BENSON",
            "state": "AZ",
            "postal_code": "85602",
            "telephone_number": "520-586-0800",
            "fax_number": "520-586-0116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOTO",
        "first_name": "TOMAS",
        "middle_name": "G.",
        "name_prefix": "Mr.",
        "credential": "LBSW-1504",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-10-08",
        "last_updated": "2010-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "AZ",
            "license": "LBSW-1504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Shute
• Melissa Ann Simard, LAC
• Kayle Skorupski, MS, RDN, CNSC
• Constance L Slay, MSN/FNP-BC
• Nancy Elizabeth Smith, RPH
• Southeastern Arizona Behavioral Health Services, Inc.
• Southeastern Arizona Behavioral Health Services, Inc. (Benson Outpatient Treatment Center)
• John Sowersby
• Stephanie Starnes, NP-C
• Marcos Andres Teran, MD

• Social Worker in Benson, AZ
• Providers in Benson, AZ by specialty
• Social Worker in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.