NPIMap

Organization Active NPI

Cognitive Behavioral Therapy Learning Group LLC

  • Clinical Social Worker
  • Tucson, AZ
National Provider Identifier
1851802706
Registry record updated Oct 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
12906 Issued in AZ
Legal business name
COGNITIVE BEHAVIORAL THERAPY LEARNING GROUP LLC
Practice address
330 E 16TH St
Tucson, AZ 85701-2811
Phone
(520) 336-2964
NPI assigned
Oct 18, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2017

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

Authorized official

Name
Susan DolenceNPI 1689907560
Title
Provider
Phone
(520) 401-1978

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 12906 AZ Primary

Addresses

Primary practice location

330 E 16TH St
Tucson, AZ 85701-2811

Mailing address

PO Box 43551
Tucson, AZ 85733-3551

Other identifiers 1

IdentifierTypeStateIssuer
12906OtherAZSTATE LICENSE

National Provider Directory

National Provider Directory

Locations

330 E 16th St
Tucson, AZ 85701
Phone (520) 336-2964

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1508284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508284800000",
    "number": "1851802706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 43551",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857333551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 E 16TH ST",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857012811",
            "telephone_number": "520-336-2964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COGNITIVE BEHAVIORAL THERAPY LEARNING GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-18",
        "last_updated": "2017-10-18",
        "status": "A",
        "authorized_official_last_name": "DOLENCE",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "520-401-1978"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "12906",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "12906",
            "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 Oct 18, 2017; 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.