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

Kristina Marie Sheppard, LCSW

Individual provider Clinical Social Worker · NPI 1740119981

Kristina Marie Sheppard, LCSW is a Clinical Social Worker in Glendale, Arizona. Qualified in 2022, 4 years ago. Practices as a sole proprietor. Licensed in Arizona.

Years since qualifying
4
Licensed in
AZ
In the registry since
2026
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

5757 W Thunderbird Rd Ste E454
Glendale, AZ 85306-4646
Phone: (480) 870-3010
Fax: (480) 716-6990
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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 23793 (AZ)

Record details

NPI number1740119981
Entity typeIndividual (Type 1)
GenderNot disclosed
Credentials LCSW
Sole proprietorYes
NPI enumeratedMay 14, 2026
Last updated in NPPESMay 14, 2026
Certification dateMay 14, 2026

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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