Individual provider Active NPI

Kristy Schutt, LCSW

  • Clinical Social Worker
  • Tucson, AZ
National Provider Identifier
1871042275
Registry record updated Feb 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
09924679 Issued in CO
Practice address
1735 E Fort Lowell Rd Ste 5
Tucson, AZ 85719-2358
Phone
(520) 447-9796
NPI assigned
Sep 26, 2016
Last updated
Feb 26, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 26, 2025

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 09924679 CO Primary

Addresses

Primary practice location

1735 E Fort Lowell Rd Ste 5
Tucson, AZ 85719-2358

Mailing address

1735 E Fort Lowell Rd Ste 5
Tucson, AZ 85719-2358
Phone (520) 447-9796

Other identifiers 1

IdentifierTypeStateIssuer
82-1605194MedicaidCO

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20220112001065 AZ Practitioner - Clinical Social Worker 1951689132 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1735 E Fort Lowell Rd
Suite 5
Tucson, AZ 85719-2358
Phone (520) 447-9796

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
09924679COMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mindful Connections Therapy Clinical CurrentSince Jun 28, 2025 Accepting new patients
Piiq Space PC Clinical Past Accepting new patients

Locations

1735 E Fort Lowell Rd
Ste 5
Tucson, AZ 85719
Phone (520) 447-9796

10200 E Girard Ave
Ste D218
Denver, CO 80231
Phone (720) 279-8116

Organizations & group practices 2

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": "1474848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740528000000",
    "number": "1871042275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1735 E FORT LOWELL RD STE 5",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857192358",
            "telephone_number": "520-447-9796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1735 E FORT LOWELL RD STE 5",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857192358",
            "telephone_number": "520-447-9796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHUTT",
        "first_name": "KRISTY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-26",
        "last_updated": "2025-02-26",
        "certification_date": "2025-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "09924679",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "82-1605194",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.