Provider Demographics
NPI:1013128214
Name:DRESSNER, LIANA (LCSW)
Entity Type:Individual
Prefix:MS
First Name:LIANA
Middle Name:
Last Name:DRESSNER
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 1:27916 N 18TH DR
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85085-5354
Mailing Address - Country:US
Mailing Address - Phone:623-523-9323
Mailing Address - Fax:888-343-2533
Practice Address - Street 1:34225 N 27TH DR
Practice Address - Street 2:BUILDING 5, SUITE 138
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85085-6087
Practice Address - Country:US
Practice Address - Phone:623-523-9323
Practice Address - Fax:888-343-2533
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-28
Last Update Date:2014-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLCSW-121831041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZZ137240Medicare PIN