Individual provider · Type 1 NPI

Mary Elizabeth Ricketts, LCSW

Mental Health Counselor · Phoenix, AZ

NPI number 1417992124 Active

Practice location

5050 N 8th Pl, Suite 8
Phoenix, AZ 85014-3202

Call (602) 285-9696 Map

Fax (602) 277-5930

Mailing address

16560 W Woodlands Ave
Goodyear, AZ 85338-2725

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XLCSW 11539 (AZ)
Mental Health Counselor Primary 101YM0800XLCSW 11539 (AZ)

Mental Health Counselor: Definition to come...

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About NPI 1417992124

Mary Elizabeth Ricketts, LCSW's National Provider Identifier is 1417992124, issued on Jun 17, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Phoenix, AZ. The record was last updated on Jul 13, 2026.