Individual provider · Type 1 NPI

Diana Kyrisch, LCSW

Clinical Social Worker · Tempe, AZ

NPI number 1760545545 Active

Practice location

1250 E Baseline Rd Ste 103
Tempe, AZ 85283-1439

Call (480) 305-3160 Map

Fax (480) 780-3040

Mailing address

5911 E Nance St
Mesa, AZ 85215-1485

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLCSW 12033 (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 1760545545

Diana Kyrisch, LCSW's National Provider Identifier is 1760545545, issued on Dec 19, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Tempe, AZ. The record was last updated on Jul 27, 2026.