Organization · Type 2 NPI

Track House Life, LLC

Clinical Social Worker · Phoenix, AZ

NPI number 1447302914 Active

Practice location

4205 N 7th Ave Ste 307
Phoenix, AZ 85013

Fax (602) 258-4996

Specialties and licenses

Taxonomy	Code	License
Clinical Social Worker Primary	1041C0700X	None listed
Community/Behavioral Health Agency	251S00000X	None listed
Mental Health Clinic/Center (Including Community Mental Health Center)	261QM0801X	CLSG7622 (AZ)
Adult Mental Health Clinic/Center	261QM0850X	None listed
Adolescent and Children Mental Health Clinic/Center	261QM0855X	None 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 1447302914

Track House Life, LLC's National Provider Identifier is 1447302914, issued on Jan 17, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Phoenix, AZ. The record was last updated on Jun 19, 2018.