Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Bryan Dubrock, LCSW-21781

Individual provider Clinical Social Worker · NPI 1053190819

Bryan Dubrock, LCSW-21781 is a Clinical Social Worker in Phoenix, Arizona. Qualified in 2015, 11 years ago. Practices with Southwest Network, a 26-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
11
Licensed in
AZ
In the registry since
2023
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Practice location Address checks out

2311 W Royal Palm Rd
Phoenix, AZ 85021-4924
Phone: (602) 269-5300
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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 · Licence LCSW-21781 (AZ)

Record details

NPI number1053190819
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW-21781
Sole proprietorNo
NPI enumeratedSeptember 21, 2023
Last updated in NPPESSeptember 21, 2023
Certification dateSeptember 21, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Southwest Network — 26 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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