Individual provider · Type 1 NPI

Stacy E. Masten, M.S.W., L.C.S.W.

Clinical Social Worker · Prescott, AZ

NPI number 1104829589 Active

Practice location

804 Ainsworth Dr, Ste 105
Prescott, AZ 86301-1624

Fax (928) 777-8897

Mailing address

PO Box 486
Humboldt, AZ 86329-0486

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLCSW3469 (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 1104829589

Stacy E. Masten, M.S.W., L.C.S.W.'s National Provider Identifier is 1104829589, issued on May 31, 2005. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Prescott, AZ. The record was last updated on Sep 28, 2007.