Individual provider Active NPI

Mahlon David Roun Jr., DBH, LCSW

  • Clinical Social Worker
  • Tucson, AZ
National Provider Identifier
1871529446
Registry record updated Apr 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW-17645 Issued in AZ
Practice address
4977 E Bellevue St
Tucson, AZ 85712-4711
Phone
(520) 390-2986
NPI assigned
Jun 24, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 24, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCSW-17645 AZ Primary
Clinical Social Worker 1041C0700X 09932632 CO

Addresses

Primary practice location

4977 E Bellevue St
Tucson, AZ 85712-4711

Mailing address

4977 E Bellevue St
Tucson, AZ 85712-4711
Phone (520) 390-2986

Other names 1

  • David Roun Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, AZ, CO3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20210419000848 TX Practitioner - Clinical Social Worker 0345658035 Reassigns benefits to 1 organization
I20210625001684 AZ Practitioner - Clinical Social Worker 0345658035 Reassigns benefits to 3 organizations
I20251230003752 CO Practitioner - Clinical Social Worker 0345658035 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2003
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

500 Westover Dr
Sanford, NC 27330-8941

66 E Flagler St
Miami, FL 33130-1807

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
09932632COMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Sondermind Provider Network LLC Clinical CurrentSince Apr 7, 2021 Accepting new patients
Grow Healthcare Group PA Clinical CurrentSince Oct 1, 2024 Accepting new patients
Community Partners Integrated Healthcare, Inc. Current Accepting new patients

Locations

4600 E Washington St
Ste 300
Phoenix, AZ 85034
Phone (602) 638-1872

20 E Thomas Rd
Ste 2200
Phoenix, AZ 85012
Phone (310) 515-8113

5055 E Broadway Blvd
Ste B100
Tucson, AZ 85711
Phone (520) 901-4676

5055 E Broadway Blvd
Ste A200
Tucson, AZ 85711
Phone (520) 901-4701

5445 Dtc Pkwy
Ph 4
Greenwood Village, CO 80111
Phone (720) 571-4874

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

2021 Guadalupe St
Ste 260
Austin, TX 78705
Phone (202) 932-9958

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1151107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776988800000",
    "number": "1871529446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4977 E BELLEVUE ST",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857124711",
            "telephone_number": "520-390-2986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4977 E BELLEVUE ST",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857124711",
            "telephone_number": "520-390-2986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROUN",
        "first_name": "MAHLON",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DBH, LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-24",
        "last_updated": "2026-04-24",
        "certification_date": "2026-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "LCSW-17645",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "09932632",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DAVID",
            "last_name": "ROUN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.