GERALDINE ARCHULETA (NPI# 1154759587) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154759587 |
| Entity Type | Individual |
| Full Name | GERALDINE ARCHULETA |
| Practice Address |
1161 N El Dorado Pl Suite 103 Tucson AZ 85715-4607 |
| Practice Telephone | 5207487108 |
| Practice Fax Number | 5205701332 |
| Mailing Telephone | 5207487108 |
| Mailing Fax Number | 5205701332 |
| Enumeration Date | 2013-10-22 |
| Last Update Date | 2013-10-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
LCSW-0689 | AZ | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | (1181):535567-02 | 05 |
| Street Address |
1161 N EL DORADO PL SUITE 103 |
| City | TUCSON |
| State | AZ |
| Zip Code | 85715-4607 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194796094 | Connie M Seymour | Nurse Practitioner | 1161 N El Dorado Pl, #130, Tucson, AZ 85715-4607 | 2006-01-30 |
| 1750869079 | Susie Munsey | Social Worker | 1161 N El Dorado Pl, Tucson, AZ 85715-4607 | 2018-07-30 |
| 1053819029 | Monica J Hernandez | Behavioral Analyst | 1161 N El Dorado Pl, Tucson, AZ 85715-4607 | 2018-01-24 |
| 1861937906 | Monica Carrillo | Counselor | 1161 N El Dorado Pl, #103, Tucson, AZ 85715-4607 | 2016-12-28 |
| 1316314958 | Serena Samaniego | Counselor | 1161 N El Dorado Pl, 103, Tucson, AZ 85715-4607 | 2015-08-31 |
| 1629453857 | Jana Longacre | Social Worker | 1161 N El Dorado Pl, Suite 103, Tucson, AZ 85715-4607 | 2015-07-29 |
| 1346625605 | Sara E Dominguez | Counselor | 1161 N El Dorado Pl, Tucson, AZ 85715-4607 | 2015-07-28 |
| 1104201896 | Margaret S Gregg | Social Worker | 1161 N El Dorado Pl, Suite 103, Tucson, AZ 85715-4607 | 2015-07-23 |
| 1760866792 | Rebecca Perry | Counselor | 1161 N El Dorado Pl, Tucson, AZ 85715-4607 | 2015-07-20 |
| 1396129680 | Michael Biuso | Counselor | 1161 N El Dorado Pl, Tucson, AZ 85715-4607 | 2015-07-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902451677 | Sharie Williams | Physical Therapist | 6267 E Tanque Verde Road, Suite 150, Tucson, AZ 85715 | 2019-08-08 |
| 1558860288 | Christina Reece | Assistant Behavior Analyst | 1161 N El Dorado, 103, Tucson, AZ 85715 | 2018-02-08 |
| 1548789761 | John Kenneth Adams | Occupational Therapy Assistant | 2900 E. Milber St, Tucson, AZ 85715 | 2017-09-19 |
| 1992229991 | Southern Arizona Urgent Care, LLC | Clinic/Center | 6572 E. Grant Rd, Ste. 130, Tucson, AZ 85715 | 2017-08-01 |
| 1104373364 | Arizona Rehab Campus, LLC | Substance Abuse Rehabilitation Facility | 6944 E Tanque Verde Rd, Tucson, AZ 85715 | 2016-09-06 |
| 1194110866 | Negin Saghafi | Dentist | 7455 E. Tanque Verde Road, Tucson, AZ 85715 | 2015-03-31 |
| 1730514282 | Rhea Lewis Tribe | Speech-Language Pathologist | 6901 E Soyaluna Pl, Tucson, AZ 85715 | 2013-09-03 |
| 1043569536 | Shaharyar Ashraf | Dentist | 7111 East Tanque Verde Road, Tucson, AZ 85715 | 2012-08-30 |
| 1093013534 | Jimmy Aziz | Behavioral Analyst | 6369 E Tanque Road, Suite 100, Tucson, AZ 85715 | 2011-03-08 |
| 1053625848 | Gerinet Palliative Care, LLC | Hospice Care, Community Based | 6375 E Tanque Verde Rd., Suite 170, Tucson, AZ 85715 | 2010-08-04 |
| Find all providers in zip 85715 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669070710 | Erica Rhea Wagner | Social Worker | 4873 E Cooper St, Tucson, AZ 85711-3617 | 2020-10-12 |
| 1053928648 | Elizabeth Sarah Kieding | Social Worker | 4732 E Calle Elegante, Tucson, AZ 85718-3733 | 2020-09-28 |
| 1386259778 | Yolanda Jeli | Social Worker | 1701 W Saint Marys Rd Ste 117, Tucson, AZ 85745-2621 | 2020-09-11 |
| 1689282097 | Marcus Aurelius De Volder | Social Worker | 8110 E Speedway Blvd Apt 8391, Tucson, AZ 85710-1782 | 2020-07-21 |
| 1336766641 | Jamie Lakin | Social Worker | 470 W Roger Rd Ste 110, Tucson, AZ 85705-2679 | 2020-07-02 |
| 1356961973 | Jillian A Stein-seroussi | Social Worker | 5400 E Williams Blvd Apt 12207, Tucson, AZ 85711-7486 | 2020-04-23 |
| 1124648175 | Deborah Lorraine Mack | Social Worker | 9950 N Camino De Oeste, Tucson, AZ 85742-9119 | 2020-04-20 |
| 1376163543 | Strategic Healing LLC | Social Worker | 245 S Bryant Ave, Tucson, AZ 85711-4122 | 2020-04-17 |
| 1811526841 | Jessica Belter | Social Worker | 3009 E Elm St # 1, Tucson, AZ 85716-3124 | 2020-04-02 |
| 1700425436 | Shannon N Barefield | Social Worker | 48 N Tucson Blvd Ste 100, Tucson, AZ 85716-4756 | 2019-12-28 |
| Find all providers in TUCSON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.