Individual provider · Type 1 NPI
Kyana Marie Dacosta, LCSW
Clinical Social Worker · Phoenix, AZ
Practice location
1121 N 44th St Apt 4083
Phoenix, AZ 85008-5748
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | CSW03761 (RI) |
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 1225850977
Kyana Marie Dacosta, LCSW's National Provider Identifier is 1225850977, issued on Oct 24, 2024. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Phoenix, AZ. The record was last updated on Oct 24, 2024.