Provider Demographics
NPI:1447375019
Name:SIRIANNI, ARTHUR ALEXANDER (MSW)
Entity type:Individual
Prefix:MR
First Name:ARTHUR
Middle Name:ALEXANDER
Last Name:SIRIANNI
Suffix:
Gender:M
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1670 W SWAN PL
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85286-5152
Mailing Address - Country:US
Mailing Address - Phone:480-244-3369
Mailing Address - Fax:
Practice Address - Street 1:1670 W SWAN PL
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85286-5152
Practice Address - Country:US
Practice Address - Phone:480-244-3369
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-20
Last Update Date:2012-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ1143816103TS0200X
AZLCSW- 41111041C0700X
AZLISAC-1423101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZLCSW4111Medicaid