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

MS. Jennifer Lee Willis, LCSW

Individual provider Clinical Social Worker · NPI 1700032265

MS. Jennifer Lee Willis, LCSW is a Clinical Social Worker in Tempe, Arizona. Qualified in 2003, 23 years ago. Practices with Crisis Preparation and Recovery Inc, a 46-clinician group. Licensed in Arizona.

Years since qualifying
23
Licensed in
AZ
In the registry since
2008
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

2120 S McClintock Dr Ste 105
Tempe, AZ 85282-2692
Phone: (480) 804-0326
Fax: (480) 804-0083
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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-12065 (AZ)

Record details

NPI number1700032265
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedAugust 14, 2008
Last updated in NPPESApril 23, 2017

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Crisis Preparation And Recovery Inc — 46 clinicians
Accepts Medicare assignment Not indicated

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