Individual provider · Type 1 NPI

Zacharias Knickerbocker

Clinical Social Worker · Tucson, AZ

NPI number 1417992181 Active

Practice location

4901 E 5th St
Tucson, AZ 85711-2203

Fax (520) 202-1889

Mailing address

127 S 5th Ave
Tucson, AZ 85701-2005

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLCSW - 11466 (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 1417992181

Zacharias Knickerbocker's National Provider Identifier is 1417992181, issued on Jun 18, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Tucson, AZ. The record was last updated on Jul 13, 2026.