Individual provider · Type 1 NPI

Kristi Ickes, LCSW

Clinical Social Worker · Peoria, AZ

NPI number 1508178278 Active

Practice location

8155 W Thunderbird Rd
Peoria, AZ 85381-4159

Call (623) 336-0164 Map

Mailing address

PO Box 3066
Peoria, AZ 85380-3066

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X12185 (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 1508178278

Kristi Ickes, LCSW's National Provider Identifier is 1508178278, issued on Jul 9, 2010. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Peoria, AZ. The record was last updated on Jul 9, 2010.