Provider Demographics
NPI:1982393948
Name:STENSON, DANIEL (MSW, LCSW, LISAC)
Entity Type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:
Last Name:STENSON
Suffix:
Gender:M
Credentials:MSW, LCSW, LISAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3843 E ALTADENA AVE
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85028-2129
Mailing Address - Country:US
Mailing Address - Phone:602-540-5024
Mailing Address - Fax:
Practice Address - Street 1:3843 E ALTADENA AVE
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85028-2129
Practice Address - Country:US
Practice Address - Phone:602-540-5024
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-04
Last Update Date:2023-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLCSW-123241041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical