Individual provider · Type 1 NPI

Dale Ryder, LCSW

Clinical Social Worker · Prescott, AZ

NPI number 1205166972 Active

Practice location

4715 S Ponderosa Park Rd
Prescott, AZ 86303-6146

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLCSW10344 (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 1205166972

Dale Ryder, LCSW's National Provider Identifier is 1205166972, issued on Jan 1, 2010. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Prescott, AZ. The record was last updated on Jan 1, 2010.