Healthcare Provider Details

I. General information

NPI: 1033039003
Provider Name (Legal Business Name): JUSTIN SZELA LCSW
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/20/2026
Last Update Date: 07/20/2026
Certification Date: 07/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2033 E WARNER RD
TEMPE AZ
85284-3417
US

IV. Provider business mailing address

101 N 1ST AVE STE 2325
PHOENIX AZ
85003-1933
US

V. Phone/Fax

Practice location:
  • Phone: 602-396-8715
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number34012939A
License Number StateIN
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLCSW-22249
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: