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

Individual provider Clinical Social Worker · NPI 1205166972

Dale Ryder, LCSW is a Clinical Social Worker in Prescott, Arizona. Practices as a sole proprietor. Licensed in Arizona.

Licensed in
AZ
In the registry since
2010
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

4715 S Ponderosa Park Rd
Prescott, AZ 86303-6146
Phone: (928) 925-3191
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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 LCSW10344 (AZ)

Record details

NPI number1205166972
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedJanuary 1, 2010
Last updated in NPPESJanuary 1, 2010
Mailing address4715 S Ponderosa Park Rd, Prescott, AZ 86303-6146

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