Individual provider · Type 1 NPI

Kathleen Ann Chan, LCSW

Clinical Social Worker · Laveen, AZ

NPI number 1104056613 Active

Practice location

4577 W Pecos Rd
Laveen, AZ 85339

Call (520) 550-6041 Map

Fax (520) 550-6033

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLCSW-3864 (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 1104056613

Kathleen Ann Chan, LCSW's National Provider Identifier is 1104056613, issued on Jul 17, 2009. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Laveen, AZ. The record was last updated on Jul 17, 2009.