SUE ELLEN MIDDAGH (NPI# 1447460480) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447460480 |
| Entity Type | Individual |
| Full Name | SUE ELLEN MIDDAGH |
| Credential | LCSW |
| Practice Address |
13395 N Marana Main St Bldg B Marana AZ 85653-7008 |
| Mailing Address |
Po Box 188 Marana AZ 85653-0188 |
| Practice Telephone | 5206821091 |
| Practice Fax Number | 5206824132 |
| Mailing Telephone | 5206824111 |
| Mailing Fax Number | 5208183630 |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2017-01-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
LCSW-4049 | AZ | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 642133 | 05 |
| Street Address |
13395 N MARANA MAIN ST BLDG B |
| City | MARANA |
| State | AZ |
| Zip Code | 85653-7008 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811964836 | Timothy Fitzgerald | Family Medicine | 13395 N Marana Main St, Marana, AZ 85653-7008 | 2006-03-08 |
| 1013529684 | Jorydn Rippberger | Dental Hygienist | 13395 N Marana Main St, Marana, AZ 85653-7008 | 2020-08-17 |
| 1891342424 | John Ryan Sparks | Registered Nurse | 13395 N Marana Main St, Marana, AZ 85653-7008 | 2019-08-19 |
| 1336609759 | Sarah Anne Netherton | Nurse Practitioner | 13395 N Marana Main St, Marana, AZ 85653 | 2019-03-21 |
| 1497213904 | Jessica Perkins | Social Worker | 13395 N Marana Main St, Marana, AZ 85653-7008 | 2019-03-05 |
| 1932672227 | Athletico Ltd | Physical Therapist | 13395 N Marana Main St, Marana, AZ 85653-7008 | 2019-01-09 |
| 1831670181 | Tatiana G Nieuwenhuys | Nurse Practitioner | 13395 N Marana Main St, Marana, AZ 85653-7008 | 2018-08-24 |
| 1134618242 | Margarita N Elias | Social Worker | 13395 N Marana Main St, Marana, AZ 85653-7008 | 2018-05-03 |
| 1922546282 | Brian Russell Menghini | Registered Nurse | 13395 N Marana Main St, Bldg B, Marana, AZ 85653-7008 | 2017-02-07 |
| 1801341268 | Nasreen Shaikh | Internal Medicine | 13395 N Marana Main St, Marana, AZ 85653-7008 | 2016-08-15 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720430473 | Shawn Kinney | Dentist | 13808 N. Sandario Road, Marana, AZ 85653 | 2016-07-06 |
| 1134462625 | Brittany M Summerkamp | Registered Nurse | 11279 W Grier Rd Ste100, Marana, AZ 85653 | 2013-04-03 |
| 1972881555 | Nicole Michelle Trombetta | Dentist | 13808 N. Sandario Rd, Marana, AZ 85653 | 2011-07-29 |
| 1699075689 | Jessica Zapf | Psychologist | 12279 W. Grier Rd, Marana, AZ 85653 | 2010-10-25 |
| 1255643359 | Carson B Wagstaff | Dentist | 13435 N Lon Adams Rd, Marana, AZ 85653 | 2010-07-06 |
| 1750546271 | Robert A Ellers | Psychologist | 12279 W. Grier Rd., Marana, AZ 85653 | 2008-07-24 |
| 1972766277 | Michael Carlton Fair | Dentist | 13455 N Lon Adams Rd, Marana, AZ 85653 | 2008-07-07 |
| 1194924969 | Bradner J Lawrence | Dentist | 12610 West Silverbell Rd, Marana, AZ 85653 | 2007-07-12 |
| 1629111687 | Heather Raney | Speech-Language Pathologist | 37571 S Herron Rd, Marana, AZ 85653 | 2007-02-15 |
| 1366580862 | Robert Otis Branch | Speech-Language Pathologist | 11279 W. Grier Rd., Musd Special Education, Marana, AZ 85653 | 2007-02-05 |
| Find all providers in zip 85653 | ||||
| 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 |
|---|---|---|---|---|
| 1346374725 | Kim Eric Couderc | Social Worker | 10127 N Tall Cotton Dr, Marana, AZ 85653-7918 | 2007-03-15 |
| 1497213904 | Jessica Perkins | Social Worker | 13395 N Marana Main St, Marana, AZ 85653-7008 | 2019-03-05 |
| 1134618242 | Margarita N Elias | Social Worker | 13395 N Marana Main St, Marana, AZ 85653-7008 | 2018-05-03 |
| 1467813535 | Stefanie Lockery | Social Worker | 13395 N Marana Main St, Building B, Marana, AZ 85653-7008 | 2016-03-16 |
| 1356632285 | Annette Caruso | Social Worker | 13395 N Marana Main St, Marana, AZ 85653-7008 | 2011-04-26 |
| 1780781633 | John Prohaska | Social Worker | 13549 N Sanders Rd, Marana, AZ 85653-9505 | 2006-09-20 |
| 1922105261 | William Stewart | Social Worker | 13549 N Sanders Rd, Marana, AZ 85653 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104426204 | Aimee Benton Wickersham | Social Worker | 15593 W Mackenzie Dr, Goodyear, AZ 85395-7779 | 2020-10-28 |
| 1205436474 | Cherilin Michelle Diefenbacher-phariss | Social Worker | 43180 W Arizona Ave, Maricopa, AZ 85138-8232 | 2020-10-27 |
| 1679173181 | Jill M Robinson | Social Worker | 8804 N. 23rd Ave, Bldg. A Ste. A01-a02, Phoenix, AZ 85021 | 2020-10-26 |
| 1669070710 | Erica Rhea Wagner | Social Worker | 4873 E Cooper St, Tucson, AZ 85711-3617 | 2020-10-12 |
| 1376141697 | Kristen Beuchat Alaniz | Social Worker | 2520 W Brookhart Way, Phoenix, AZ 85085-3725 | 2020-10-09 |
| 1780281659 | Robin Slavit | Social Worker | 5550 E Deer Valley Dr Apt 426, Phoenix, AZ 85054-5673 | 2020-10-05 |
| 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 |
| 1396359378 | Gary Santorella | Social Worker | 16102 E Glenpoint Dr, Fountain Hills, AZ 85268-3115 | 2020-09-07 |
| 1043822869 | Matthew Christopher Durdovic | Social Worker | 3250 E 40th St Bldg B, Yuma, AZ 85365-7994 | 2020-08-21 |
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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.