Liza Brockway, LCSW
Individual provider Active NPI Clinical Social Worker · Sedona, AZ
NPI 1386008274 · NPPES record last updated Apr 19, 2022
Key facts
- NPI
- 1386008274
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 149016345 (IL)
- Practice address
- 35 Fritz Dr
Sedona, AZ 86336-5322 - Phone
- (312) 804-7706
- NPI assigned
- Apr 7, 2016
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 149016345 | IL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Howard Brown Health Center | Past | Accepting new patients | |
| Howard Brown Health Center | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 149016345 | IL | Yes |
Addresses
Primary practice location
35 Fritz Dr
Sedona, AZ 86336-5322
Mailing address
35 Fritz Dr
Sedona, AZ 86336-5322
Phone (312) 804-7706
Other providers in Sedona, AZ
- Megan Brooking Booth
- Raymond R Botte
- Shawna Bowen
- Mark Kevin Brekke
- Ahna E. Bridenbaugh
- Gerald S Bronstein
- Michael Brown
- Lou Ann Bruck
- Emily Jane Burgoon
- Barbara Cummings Burt
All providers in Sedona, AZ · Clinical Social Worker in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 19, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.