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

MRS. MICHELLE MARIE KOMETH, LCSW

Active Sole Proprietor

MRS. MICHELLE MARIE KOMETH, LCSW is a Clinical Social Worker healthcare provider located in PHOENIZ, Arizona. NPI 1801378377 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · PHOENIZ, AZ

Registration Details

NPI Number
1801378377
Provider Type
Individual
Gender
Female
NPI Issued
Aug 31, 2018 (7.9449306379059 yrs)
Last Updated
Oct 6, 2021
License
LCSW-17215 (AZ)
Sole Proprietor
Yes

Practice Information

Address
11201 N. TATUM BLVD
SUITE 300
PHOENIZ, AZ, 85028
Browse AZ providers · Browse ZIP 85028
Phone
4802043893
Primary Specialty
Clinical Social Worker
1041C0700X
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.