Provider Demographics
NPI:1518731678
Name:ENCINAS TAPIA, DULCE SCARLETT (LCSW)
Entity Type:Individual
Prefix:MISS
First Name:DULCE
Middle Name:SCARLETT
Last Name:ENCINAS TAPIA
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2828 N CENTRAL AVE # 1017
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85004-1021
Mailing Address - Country:US
Mailing Address - Phone:602-730-4580
Mailing Address - Fax:
Practice Address - Street 1:2828 N CENTRAL AVE # 1017
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85004-1021
Practice Address - Country:US
Practice Address - Phone:602-730-4580
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-09
Last Update Date:2023-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLCSW-218881041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical