Individual provider · Type 1 NPI
Mindy Eglivitch, LCSW
Clinical Social Worker · Surprise, AZ
Practice location
16772 W Bell Rd Ste 110-186
Surprise, AZ 85374-9702
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | LCSW-19673 (AZ) |
| Clinical Social Worker | 1041C0700X | C005727 (NC) |
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 1265632442
Mindy Eglivitch, LCSW's National Provider Identifier is 1265632442, issued on Jul 25, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Surprise, AZ. The record was last updated on Apr 27, 2026.