Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Innovative Therapeutic Services

Organization Clinical Social Worker · NPI 1912495839

Innovative Therapeutic Services is a Clinical Social Worker in Phoenix, Arizona. Registered with an NPI since 2018.

In the registry since
2018

Practice location Address checks out

15600 N Black Canyon Hwy Ste C103
Phoenix, AZ 85053-4055
Phone: (602) 320-7925
Fax: (877) 958-9033
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1912495839
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gwynetth Kelly — Clinical Director · (602) 320-7925
NPI enumeratedApril 26, 2018
Last updated in NPPESMay 4, 2022
Certification dateMay 4, 2022
Mailing address15600 N Black Canyon Hwy # C103, Phoenix, AZ 85053-4055

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