Individual
MICHAEL N GREENWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW, LCSW
Contact information
Practice address
1110 E MISSOURI AVE STE 760, PHOENIX, AZ 85014-2737
(602) 918-3560
(602) 918-3560
Mailing address
1110 E MISSOURI AVE STE 760, PHOENIX, AZ 85014-2737
(602) 918-3560
(602) 918-3560
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-15199
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LCSW-15199
LICENSE #
AZ
Enumeration date
01/14/2015
Last updated
05/04/2026
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