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Specialty details in registry · Phoenix, AZ

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At a glance

4444 N 25Th St Unit 43, Phoenix, AZ 85016-5645

NPPES record updated Feb 21, 2025. Public records can lag behind changes at a practice.

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Are you accepting new patients?
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Insurance participation and appointment availability are not established by these public records.

Practice location

4444 N 25Th St Unit 43
Phoenix, AZ 85016-5645

Professional details: NPI, taxonomy & registry record

NPI1356147128

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Registry details

Primary taxonomy: Specialty details in registry
Taxonomy code: 3245S0500X
Enumeration date: Feb 21, 2025
Record updated: Feb 21, 2025

More registry details

Provider type: Organization · Type 2

Reported taxonomies and licenses

Clinical Social Worker

1041C0700X

Specialty details in registry

3245S0500X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

4444 N 25Th St Unit 43
Phoenix, AZ 85016-5645

Phone: (602) 363-2743

Mailing address

PO BOX 11077

TEMPE, AZ 852840018

Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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