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EAST VALLEY PCIT PLLC NPI 1184138588


NPI Information

NPI: 1184138588
Provider Name: EAST VALLEY PCIT, PLLC
Classification: Social Worker - 1041C0700X
Entity Type: Organization

Specialization: Clinical

CLIA Number: 03D1088511

Address:
955 W CHANDLER BLVD STE 2
CHANDLER, AZ
ZIP 85225
Phone: (602) 777-7528
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EAST VALLEY PCIT, PLLC is a clinical social worker in Chandler, AZ. The provider is 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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. EAST VALLEY PCIT, PLLC NPI is 1184138588. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

955 W CHANDLER BLVD STE 2
CHANDLER, AZ
ZIP 85225-906
Phone: (602) 777-7528
Fax: (602) 900-0996

The provider's authorized official is Ashley Delucenay Bratcher .
The authorized official title is Owner/therapist and has the following contact phone number (602) 777-7528.

The CLIA number assigned to this NPI record is 03D1088511 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/21/2017 and was last updated on 11/21/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11041C0700XSocial WorkerClinicalLCSW-16868ARIZONAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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