Individual provider · Type 1 NPI

Kristi Lucille Stuckwisch, LCSW, LISAC

Clinical Social Worker · Sacaton, AZ

NPI number 1396152344 Active

Practice location

483 W. Seed Farm Rd.
Sacaton, AZ 85147-0038

Fax (602) 528-1255

Mailing address

13400 E Shea Blvd
Scottsdale, AZ 85259-5499

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XLISAC-10333 (AZ)
Clinical Social Worker Primary 1041C0700XLCSW-11452 (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 1396152344

Kristi Lucille Stuckwisch, LCSW, LISAC's National Provider Identifier is 1396152344, issued on Jul 22, 2014. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Sacaton, AZ. The record was last updated on Dec 30, 2015.