Individual provider · Type 1 NPI

Stephanie Larsen Mickelsen, LCSW

Clinical Social Worker · Glendale, AZ

NPI number 1508473042 Active

Practice location

17100 N 67th Ave Ste 400
Glendale, AZ 85308-3698

Call (480) 485-5919 Map

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLCSW-22407 (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 1508473042

Stephanie Larsen Mickelsen, LCSW's National Provider Identifier is 1508473042, issued on Sep 29, 2020. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Glendale, AZ. The record was last updated on Aug 3, 2024.