MEDICARE: CAITLIN CLIMES LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	LCSW-22247	AZ

General Provider Information

NPI Number	:	1972350924
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CAITLIN CLIMES LCSW

Provider Business Mailing Address
First Line	:	2720 E LEE ST
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85716-3519
Country	:	US
Telephone Number	:	517-420-5460
Fax Number	:

Provider Business Practice Location Address
First Line	:	1430 E FORT LOWELL RD STE 210
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85719-2366
Country	:	US
Telephone Number	:	520-484-4879
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/06/2024
Last Update Date	:	05/09/2024

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