MEDICARE: SABRINA PIETSCH LMSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	104100000X	Social Worker	20829	AZ

General Provider Information

NPI Number	:	1073397469
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SABRINA PIETSCH LMSW

Provider Business Mailing Address
First Line	:	10000 N 31ST AVE STE C218
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85051-9620
Country	:	US
Telephone Number	:	602-314-6312
Fax Number	:

Provider Business Practice Location Address
First Line	:	10000 N 31ST AVE STE C218
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85051-9620
Country	:	US
Telephone Number	:	602-314-6312
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/24/2023
Last Update Date	:	08/25/2023

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Directions to “ SABRINA PIETSCH LMSW” Practice Location

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