Provider Demographics
NPI:1619723038
Name:KOMAR, CLARA (LMSW)
Entity Type:Individual
Prefix:
First Name:CLARA
Middle Name:
Last Name:KOMAR
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10011 E WINCHCOMB DR
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85260-7572
Mailing Address - Country:US
Mailing Address - Phone:480-518-5817
Mailing Address - Fax:
Practice Address - Street 1:10011 E WINCHCOMB DR
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85260-7572
Practice Address - Country:US
Practice Address - Phone:480-518-5817
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-26
Last Update Date:2024-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLMSW-16681104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker