Individual provider · Type 1 NPI

Kristal Rayne Etsitty

Clinical Social Worker · Phoenix, AZ

NPI number 1245705946 Active

Practice location

4041 N Central Ave
Phoenix, AZ 85012-3330

Call (602) 279-5262 Map

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLCSW-23289 (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 1245705946

Kristal Rayne Etsitty's National Provider Identifier is 1245705946, issued on Oct 9, 2018. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Phoenix, AZ. The record was last updated on Sep 29, 2025.