Individual provider · Type 1 NPI

Kelly Marie Gruber, LCSW

Clinical Social Worker · Glendale, AZ

NPI number 1245143262 Active

Practice location

18704 N 51st Dr
Glendale, AZ 85308-4628

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLCSW-15764 (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 1245143262

Kelly Marie Gruber, LCSW's National Provider Identifier is 1245143262, issued on Sep 23, 2026. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Glendale, AZ. The record was last updated on Sep 23, 2026.