Provider Demographics
NPI:1982017091
Name:GREENFELD, TINA RACHEL (MSW)
Entity Type:Individual
Prefix:
First Name:TINA
Middle Name:RACHEL
Last Name:GREENFELD
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8906 E MEADOW HILL DR
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85260-7511
Mailing Address - Country:US
Mailing Address - Phone:480-270-4516
Mailing Address - Fax:888-974-4260
Practice Address - Street 1:8906 E MEADOW HILL DR
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85260-7511
Practice Address - Country:US
Practice Address - Phone:480-270-4516
Practice Address - Fax:888-974-4260
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-05
Last Update Date:2014-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLMSW-13507104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker