Organization · Type 2 NPI

Theraville PLLC

Clinical Social Worker · Phoenix, AZ

NPI number 1326973983 Active

Practice location

16601 N 40th St, Ste 216
Phoenix, AZ 85032

Call (909) 767-3450 Map

Mailing address

PO Box 559
Beaumont, CA 92223-0559

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone listed

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 1326973983

Theraville PLLC's National Provider Identifier is 1326973983, issued on Jun 16, 2026. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Phoenix, AZ. The record was last updated on Jul 7, 2026.