Individual provider · Type 1 NPI

Staci Detwiler, MSW, LCSW

Clinical Social Worker · Phoenix, AZ

NPI number 1073248357 Active

Practice location

4646 E Greenway Rd Ste 100
Phoenix, AZ 85032-4805

Call (480) 674-9220 Map

Fax (480) 674-9231

Mailing address

3334 E Gelding Dr
Phoenix, AZ 85032-5352

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLCSW-22553 (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 1073248357

Staci Detwiler, MSW, LCSW's National Provider Identifier is 1073248357, issued on Jul 20, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Phoenix, AZ. The record was last updated on Feb 19, 2025.