Individual provider · Type 1 NPI

Ethelyn Lara, LMSW

Clinical Social Worker · Phoenix, AZ

NPI number 1699264887 Active

Practice location

1919 E Thomas Rd
Phoenix, AZ 85016-7710

Call (602) 933-0990 Map

Fax (602) 933-4251

Mailing address

3200 E Camelback Rd Ste 250
Phoenix, AZ 85018-2327

Other practice locations

  • 2120 N Central Ave Ste 130, Phoenix, AZ 85004-1454 · (602) 271-4500

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLCSW-19732 (AZ)
Clinical Social Worker 1041C0700X16318 (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 1699264887

Ethelyn Lara, LMSW's National Provider Identifier is 1699264887, issued on May 3, 2018. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Phoenix, AZ. The record was last updated on Nov 15, 2021.