Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Miriam K De Levie-Krock, LCSW

Individual provider Clinical Social Worker · NPI 1982912630

Miriam K De Levie-Krock, 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

3048 N Chichicoi Ln
Prescott, AZ 86305-6911
Phone: (928) 713-0350
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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-1778 (AZ)

Record details

NPI number1982912630
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedSeptember 15, 2010
Last updated in NPPESDecember 4, 2024
Certification dateDecember 4, 2024

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