Individual provider Active NPI

Cynthia Klatte, LCSW

  • Clinical Social Worker
  • Tucson, AZ
National Provider Identifier
1861590242
Registry record updated May 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
12484 Issued in AZ
Practice address
1224 E. Lowell Street
Counseling & Psych. Services
Tucson, AZ 85721
Phone
(520) 621-3334
Fax
(520) 626-6105
NPI assigned
Sep 20, 2006
Last updated
May 1, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 12484 AZ Primary

Addresses

Primary practice location

1224 E. Lowell Street
Counseling & Psych. Services
Tucson, AZ 85721

Mailing address

P.O. Box 210095 the University of Arizona
Campus Health Service, Counseling & Psych. Services
Tucson, AZ 85721-0095
Phone (520) 621-3334

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

LicenseStateTypeSpecialty
12484AZMDPhysical Therapist
004916CTMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Intercommunity, Inc. Past Accepting new patients
Arizona Community Physicians PC Past Accepting new patients
Arizona Community Physician PC Past Accepting new patients
The University of Arizona, Campus Health Service Past Accepting new patients
Intercommunity, Inc. Past Accepting new patients

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430438400000",
    "number": "1861590242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 210095 THE UNIVERSITY OF ARIZONA",
            "address_2": "CAMPUS HEALTH SERVICE, COUNSELING & PSYCH. SERVICES",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857210095",
            "telephone_number": "520-621-3334",
            "fax_number": "520-626-6105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1224 E. LOWELL STREET",
            "address_2": "COUNSELING & PSYCH. SERVICES",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "85721",
            "telephone_number": "520-621-3334",
            "fax_number": "520-626-6105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLATTE",
        "first_name": "CYNTHIA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2015-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "12484",
            "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 1, 2015; 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.