Individual provider Active NPI

Shalimar Sinn, LMSW

  • Clinical Social Worker
  • Tucson, AZ
National Provider Identifier
1982352050
Registry record updated Feb 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW-22048 Issued in AZ
Practice address
6400 E Grant Rd
Tucson, AZ 85715-3860
Phone
(520) 600-2716
NPI assigned
Mar 16, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 13, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X
Clinical Social Worker 1041C0700X LCSW-22048 AZ Primary

Addresses

Primary practice location

6400 E Grant Rd
Tucson, AZ 85715-3860

Mailing address

6400 E Grant Rd
Tucson, AZ 85715-3860

Other identifiers 1

IdentifierTypeStateIssuer
LCSW-22048OtherAZAZBBHE

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
I20240527000237 AZ Practitioner - Clinical Social Worker 1759723430 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Recovia LLCGroup PAC ID 1456629211, 28 clinicians

Practice addresses (Care Compare)

19636 N 27TH Ave
Suite 106
Phoenix, AZ 85027-4014
Phone (480) 712-4600

2411 W Northern Ave
Suite 201
Phoenix, AZ 85021-4874
Phone (480) 712-4600

6060 N Fountain Plaza Dr
Suite 140
Tucson, AZ 85704-7874
Phone (480) 712-4600

9250 W Thomas Rd
Suite 250
Phoenix, AZ 85037-3362
Phone (480) 712-4600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW-22048AZMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Recovia LLC CurrentSince Apr 14, 2024 Accepting new patients

Locations

6553 E Baywood Ave
Ste 209
Mesa, AZ 85206
Phone (480) 985-8478

9250 W Thomas Rd
Ste 250
Phoenix, AZ 85037
Phone (623) 234-4130

2411 W Northern Ave
Ste 201
Phoenix, AZ 85021
Phone (602) 441-1750

337 E Coronado Rd
Ste 201
Phoenix, AZ 85004
Phone (602) 252-8081

19636 N 27th Ave
Ste 106
Phoenix, AZ 85027
Phone (480) 416-7200

8322 E Hartford Dr
Ste 100
Scottsdale, AZ 85255

1910 E Southern Ave
Tempe, AZ 85282
Phone (480) 219-7178

6400 E Grant Rd
Ste 170
Tucson, AZ 85715
Phone (520) 600-2716

6060 N Fountain Plaza Dr
Ste 140
Tucson, AZ 85704

Organizations & group practices 1

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": "1647388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707782400000",
    "number": "1982352050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6400 E GRANT RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857153860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6400 E GRANT RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857153860",
            "telephone_number": "520-600-2716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SINN",
        "first_name": "SHALIMAR",
        "name_prefix": "Mrs.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-16",
        "last_updated": "2024-02-13",
        "certification_date": "2024-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "LCSW-22048",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AZBBHE",
            "identifier": "LCSW-22048",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.