Individual provider · Type 1 NPI

Paul Ace Jim Iii, LCSW

Clinical Social Worker · Mesa, AZ

NPI number 1154791580 Active

Practice location

777 W Southern Ave
Mesa, AZ 85210-5008

Call (602) 279-5262 Map

Fax (541) 504-1195

Mailing address

777 W Southern Ave Bldg E
Mesa, AZ 85210-5008

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X17-04-09 (OR)
Clinical Social Worker Primary 1041C0700XLCSW-22382 (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 1154791580

Paul Ace Jim Iii, LCSW's National Provider Identifier is 1154791580, issued on Sep 28, 2015. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Mesa, AZ. The record was last updated on Jul 29, 2024.