Kristal Rayne Etsitty
Kristal Rayne Etsitty is a Clinical Social Worker in Phoenix, Arizona. Qualified in 2019, 7 years ago. Licensed in Arizona.
- Years since qualifying
- 7
- Licensed in
- AZ
- In the registry since
- 2018
Practice location Address checks out
4041 N Central AvePhoenix, AZ 85012-3330
Phone: (602) 279-5262
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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-23289 (AZ) |
|---|
Record details
| NPI number | 1245705946 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | October 9, 2018 |
| Last updated in NPPES | September 29, 2025 |
| Certification date | September 29, 2025 |
Medicare enrollment
| Medicare specialty | CLINICAL SOCIAL WORKER |
|---|---|
| Medical school | OTHER |
| Graduated | 2019 (7 years in practice) |
| Accepts Medicare assignment | Not indicated |
| Practice locations | 2 on file with Medicare |
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