Individual provider · Type 1 NPI

Telly E. Rivenburgh, LCSW

Clinical Social Worker · Mesa, AZ

NPI number 1992665863 Active

Practice location

4864 E Baseline Rd
Mesa, AZ 85206-4629

Call (480) 200-7371 Map

Mailing address

460 N Mesa Dr Ste 101
Mesa, AZ 85201-5949

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLCSW23412 (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 1992665863

Telly E. Rivenburgh, LCSW's National Provider Identifier is 1992665863, issued on Nov 13, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Mesa, AZ. The record was last updated on Nov 13, 2025.