Individual
JEFFREY M AINSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
15331 W BELL RD STE 212, SURPRISE, AZ 85374
(602) 644-1198
Mailing address
15331 W BELL RD STE 212, SURPRISE, AZ 85374-4104
(602) 644-1198
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-17210
AZ
1041C0700X
Clinical Social Worker
LMSW-13186
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1306131511
—
AZ
Enumeration date
06/15/2011
Last updated
08/21/2018
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