Provider Demographics
NPI:1902622343
Name:MEES, LILLIAN N (LMSW, CDCES)
Entity type:Individual
Prefix:
First Name:LILLIAN
Middle Name:N
Last Name:MEES
Suffix:
Gender:F
Credentials:LMSW, CDCES
Other - Prefix:
Other - First Name:LILLY
Other - Middle Name:
Other - Last Name:MEES
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 272
Mailing Address - Street 2:
Mailing Address - City:CORTARO
Mailing Address - State:AZ
Mailing Address - Zip Code:85652-0272
Mailing Address - Country:US
Mailing Address - Phone:520-307-0574
Mailing Address - Fax:
Practice Address - Street 1:8463 N SHADOW WASH WAY
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85743-7474
Practice Address - Country:US
Practice Address - Phone:520-307-0574
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-02
Last Update Date:2024-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLMSW-16065171M00000X, 172V00000X, 174H00000X, 224Y00000X, 374K00000X, 104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty
No171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Multi-Specialty
No172V00000XOther Service ProvidersCommunity Health WorkerGroup - Multi-Specialty
No174H00000XOther Service ProvidersHealth EducatorGroup - Multi-Specialty
No224Y00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersClinical Exercise PhysiologistGroup - Multi-Specialty
No374K00000XNursing Service Related ProvidersReligious Nonmedical PractitionerGroup - Multi-Specialty