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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MISS ODESSA MAVIS THOMAS HANCOCK, LCSW

Active Sole Proprietor

MISS ODESSA MAVIS THOMAS HANCOCK, LCSW is a Clinical Social Worker healthcare provider located in MARANA, Arizona. NPI 1376826719 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · MARANA, AZ

Registration Details

NPI Number
1376826719
Provider Type
Individual
Gender
Female
NPI Issued
Sep 22, 2011 (14.856790680256 yrs)
Last Updated
Jun 26, 2024
Licenses
P005543 (NC)
P015881 (NC)
LMSW-19637 (AZ)
1217085 (NC)
LCSW-22353 (AZ)
Sole Proprietor
Yes

Practice Information

Address
13395 N MARANA MAIN ST BLDG B
MARANA, AZ, 856537008
Browse AZ providers · Browse ZIP 85653
Phone
5206821091
Primary Specialty
Clinical Social Worker
1041C0700X
Additional Specialty
Social Worker
Additional Specialty
Social Worker
Additional Specialty
School Social Worker
Additional Specialty
Clinical Social Worker

Other Clinical Social Worker Providers in MARANA, AZ

Name Credential NPI
JOHN PROHASKA LCSW 1780781633
MR. KIM ERIC COUDERC M.S.W.,L.C.S.W. 1346374725
SUE ELLEN MIDDAGH LCSW 1447460480
ANNETTE CARUSO LCSW 1356632285
JACQUELYN COLLINS 1154767184
SARAH PEDRAZZA LCSW 1710373188
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.