Active NPI
Lee a Woods LCSW PC
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Payson, AZ
National Provider Identifier
1881644581
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- License
- LCSW0585
- Legal business name
- LEE A WOODS LCSW PC
- Practice address
- 616 S Beeline Hwy Suite 108
Payson, AZ 85541-5380 - Phone
- (928) 472-8298
- Fax
- (928) 472-7430
- NPI assigned
- May 11, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Lee A. Woods, MSSA
- Title
- President
- Phone
- (928) 472-8298
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | LCSW0585 | AZ | Primary |
Addresses
Primary practice location
616 S Beeline Hwy Suite 108
Payson, AZ 85541-5380
Mailing address
PO Box 2752
Payson, AZ 85547-2752
Phone (928) 472-8298
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 745440 | Medicaid | AZ |
National Provider Directory
National Provider DirectoryLocations
616 S Beeline Hwy
Ste 108
Payson, AZ 85541
Phone (928) 472-8298
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147305600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1201564800000",
"number": "1881644581",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2752",
"city": "PAYSON",
"state": "AZ",
"postal_code": "855472752",
"telephone_number": "928-472-8298",
"fax_number": "928-472-7430"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "616 S BEELINE HWY SUITE 108",
"city": "PAYSON",
"state": "AZ",
"postal_code": "855415380",
"telephone_number": "928-472-8298",
"fax_number": "928-472-7430"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LEE A WOODS LCSW PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-11",
"last_updated": "2008-01-29",
"status": "A",
"authorized_official_last_name": "WOODS",
"authorized_official_first_name": "LEE",
"authorized_official_middle_name": "A.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "928-472-8298",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MSSA"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": "AZ",
"license": "LCSW0585",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "745440",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Payson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.