Active NPI
Sandra Decuzzi, LCSW
- Clinical Social Worker
- Tempe, AZ
National Provider Identifier
1902864945
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW-2872
- Practice address
- 2120 S. McClintock Dr.
Ste. 105
Tempe, AZ 85282 - Phone
- (480) 804-0326
- Fax
- (480) 804-0083
- NPI assigned
- May 1, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCSW 2872 | AZ | |
| Clinical Social Worker | 1041C0700X | LCSW-2872 | AZ | Primary |
Addresses
Primary practice location
2120 S. McClintock Dr.
Ste. 105
Tempe, AZ 85282
Mailing address
1400 E. Southern Ave.
Ste. 735
Tempe, AZ 85282
Phone (480) 804-0326
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 752627 | Medicaid | AZ |
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
| License | State | Type | Specialty |
|---|---|---|---|
| LCSW 2872 | AZ | MD | Clinical Social Worker |
| LCSW-2872 | AZ | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Horizon Health and Wellness, Inc. | Past | Accepting new patients | |
| Casa Grande Community Hospital | Past | Accepting new patients | |
| Terros Inc | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- General Acute Care Hospital
- Casa Grande, AZ
- NPI 1437107208
-
- Federally Qualified Health Center (FQHC)
- Globe, AZ
- NPI 1689436412
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Mesa, AZ
- NPI 1356202360
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146441600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1902864945",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 E. SOUTHERN AVE.",
"address_2": "STE. 735",
"city": "TEMPE",
"state": "AZ",
"postal_code": "85282",
"telephone_number": "480-804-0326",
"fax_number": "480-804-0083"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2120 S. MCCLINTOCK DR.",
"address_2": "STE. 105",
"city": "TEMPE",
"state": "AZ",
"postal_code": "85282",
"telephone_number": "480-804-0326",
"fax_number": "480-804-0083"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DECUZZI",
"first_name": "SANDRA",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-01",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "AZ",
"license": "LCSW 2872",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "AZ",
"license": "LCSW-2872",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "752627",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tempe, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.