Organization
CINDY L. TATUM, CSMW, INC.
Active
Other names
CLTatum & Associates
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CINDY LOU TATUM-SHIPLEY MSW, LCSW (EXECUTIVE DIRECTOR)
(623) 876-2029
Entity
Organization
Contact information
Practice address
8657 W ROWEL RD, PEORIA, AZ 85383-3708
(623) 876-2029
(623) 933-7729
Mailing address
PO BOX 5160, PEORIA, AZ 85385-5160
(623) 876-2029
(623) 933-7729
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
LCSW-2401
AZ
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCSW-2401
AZ
101YM0800X
Mental Health Counselor
LCSW-2401
AZ
101YP2500X
Professional Counselor
LCSW-2401
AZ
104100000X
Social Worker
LCSW-2401
AZ
1041C0700X
Clinical Social Worker
Primary
LCSW-2401
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
915069
AHCCCS PROVIDER NUMBER
AZ
Enumeration date
01/29/2007
Last updated
09/11/2025
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