| Kathy Crowley Lcsw Llc | |
|
17215 N 72nd Dr Suite D140 Glendale AZ 85308-8558 | |
| (602) 573-6621 | |
| (623) 487-9631 |
| Full Name | Kathy Crowley Lcsw Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 17215 N 72nd Dr, Glendale, Arizona |
| Authorized Official Name and Position | Kathy Crowley (MANAGER) |
| Authorized Official Contact | 6025736621 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kathy Crowley Lcsw Llc 13242 N 28th Pl Phoenix AZ 85032-6002 Ph: (602) 573-6621 | Kathy Crowley Lcsw Llc 17215 N 72nd Dr Suite D140 Glendale AZ 85308-8558 Ph: (602) 573-6621 |
| NPI Number | 1275584005 |
|---|---|
| Provider Enumeration Date | 05/15/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275584005 | NPI | - | NPPES |
| LCSW 0625 | Other | AZ | SOCIAL WORK LICENSE |
| 1215990262 | Other | PERSONAL NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LCSW 0625 (Arizona) | Primary |
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