| Jewish Family And Children's Service Of Southern Arizona, Inc | |
|
4301 East 5th Street Tucson AZ 85711-2005 | |
| (520) 795-0300 | |
| (520) 795-8206 |
| Full Name | Jewish Family And Children's Service Of Southern Arizona, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 4301 East 5th Street, Tucson, Arizona |
| Authorized Official Name and Position | Carlos Hernandez (CEO) |
| Authorized Official Contact | 5207950300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jewish Family And Children's Service Of Southern Arizona, Inc 4301 East 5th Street Tucson AZ 85711-2005 Ph: (520) 795-0300 | Jewish Family And Children's Service Of Southern Arizona, Inc 4301 East 5th Street Tucson AZ 85711-2005 Ph: (520) 795-0300 |
| NPI Number | 1093876542 |
|---|---|
| Provider Enumeration Date | 12/12/2006 |
| Last Update Date | 12/06/2022 |
| Certification Date | 12/06/2022 |
| Medicare PECOS PAC ID | 9436176831 |
|---|---|
| Medicare Enrollment ID | O20051025000775 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093876542 | NPI | - | NPPES |
| 116865 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | BH1600 (Arizona) | Secondary |
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | BH213 (Arizona) | Primary |
| Provider Name | Georgia C Fitzsimmons |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104852763 PECOS PAC ID: 5799000535 Enrollment ID: I20150219000180 |
| Provider Name | Dorothy A Bowring |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518192863 PECOS PAC ID: 9335284504 Enrollment ID: I20171011001832 |
| Provider Name | Bethany Riley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932630373 PECOS PAC ID: 5294169769 Enrollment ID: I20191217001414 |
| Provider Name | Mary Martin Hayden |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710698642 PECOS PAC ID: 8820463458 Enrollment ID: I20230412001252 |
| Provider Name | Stephenie Kamaal |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720799554 PECOS PAC ID: 6901245257 Enrollment ID: I20240418003313 |
| Provider Name | Lily Hanscom |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1043921760 PECOS PAC ID: 7618316977 Enrollment ID: I20240418003775 |
| Provider Name | Rebecca Branstetter |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1164085338 PECOS PAC ID: 8921449984 Enrollment ID: I20240508003857 |
| Provider Name | Andrea L Hale |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1912618737 PECOS PAC ID: 0446691406 Enrollment ID: I20240508003992 |
Nancy E Campbell, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2230 E. Speedway Blvd., Suite 100, Tucson, AZ 85719 Phone: 520-878-7857 Fax: 520-572-2049 | |
Counterpoint Counseling Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1661 N Swan Rd Ste 200-2, Tucson, AZ 85712 Phone: 520-990-3122 | |
Psyche Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 5240 E Knight Dr Ste 120, Tucson, AZ 85712 Phone: 520-795-0309 Fax: 520-795-2030 | |
Counseling Directions Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1001 N Alvernon Way Ste 105, Tucson, AZ 85711 Phone: 520-561-8773 | |
Perception Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1213 E Warehouse Avenue, Tucson, AZ 85719 Phone: 520-623-7077 | |
B. Robert Crago Phd Pc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 5363 E Pima St Ste 100, Tucson, AZ 85712 Phone: 520-323-0062 Fax: 520-323-1336 | |
Catalina Behavioral Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 16358 N Forecastle Ave, Tucson, AZ 85739 Phone: 602-367-9807 |