Miss Kathy Renee Willis - Mesa, AZ

Miss Kathy Renee Willis

Social Worker in Mesa, Arizona

NPI 1932476611

Kathy Renee Willis is a Social Worker based in Mesa, AZ. Kathy Renee Willis practices in Mesa, AZ. The NPI Number for Kathy Renee Willis is 1932476611 and holds a License No. 3162012 (Arizona).

The current practice location address for Kathy Renee Willis is 11026 E Segura Ave, Mesa, AZ and can be reached out via phone at 480-235-9107.

Location: 11026 E Segura Ave, Mesa, AZ, 85212-5214

NPI Number

1932476611

Provider Name

Kathy Renee Willis

Credential

Provider Entity Type

Individual

Gender

Female

Address

11026 E Segura Ave, Mesa, AZ, 85212-5214

Phone Number

480-235-9107

Fax Number

Provider Enumeration Date

11/22/2011

Last Update Date

03/09/2024

Identifier	Type	State	Issuer
3162012	01	AZ	AZ DEPT OF HEALTH SERVICES

Address

11026 E Segura Ave

City

Mesa

State

Arizona

Zip

85212-5214

Phone Number

480-235-9107

Fax Number

Address

11026 E Segura Ave

City

Mesa

State

Arizona

Zip

85212-5214

Phone Number

480-235-9107

Fax Number

Type

Behavioral Health & Social Service Providers

Classification

Social Worker

Speciality

Taxonomy

104100000X

License No.

3162012 (Arizona)

Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Type

Respite Care Facility

Classification

Respite Care

Speciality

Respite Care, Mental Illness, Child

Taxonomy

385HR2055X

License No.

3162012 (Arizona)

Definition

A facility or distinct part of a facility that provides short term, residential care to children, diagnosed with mental illness, as respite for the regular caregivers.

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