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

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Active Sole Proprietor

Clinical Social Worker · LUKE AFB, AZ

Registration Details

NPI Number
1659810869
Provider Type
Individual
Gender
Female
NPI Issued
Feb 21, 2017 (9.2140960091102 yrs)
Last Updated
Oct 27, 2025
License
224446 (AK)
Sole Proprietor
Yes

Practice Information

Address
56TH MEDICAL GROUP
7219 N LITCHFIELD RD
LUKE AFB, AZ, 85309
Browse AZ providers · Browse ZIP 85309
Phone
6234286334
Primary Specialty
Clinical Social Worker
1041C0700X

Other Clinical Social Worker Providers in LUKE AFB, AZ

Name Credential NPI
KIMBERLY ANNE MONTERO LCSW 1356300461
MR. JEFFREY EDWARD MCLEAN MSW 1609818715
TAMMY LEE HANCOCK LCSW 1386749497
MICHAEL HAROLD COOTER L.C.S.W. 1861581803
MR. JAME H. GAMBLE LCSW 1851489884
JASON WAYNE FORQUER LCSW 1912072463
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.