Individual provider · Type 1 NPI

Richard Michael Bohannan, LCSW

Clinical Social Worker · Tempe, AZ

NPI number 1013262963 Active

Practice location

2120 S Mcclintock Dr Ste 105
Tempe, AZ 85282-2692

Call (480) 804-0326 Map

Other practice locations

  • 6232 N 7th St Ste 101, Phoenix, AZ 85014-1850 · (623) 850-4170
  • 500 AZ-89, Prescott, AZ 86301 · (480) 433-7509

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLCSW-15674 (AZ)
Social Worker 104100000XLMSW-13380 (AZ)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1013262963

Richard Michael Bohannan, LCSW's National Provider Identifier is 1013262963, issued on Jul 17, 2012. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Tempe, AZ. The record was last updated on Jul 16, 2026.