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

MS. Mindy Eglivitch, LCSW

Individual provider Clinical Social Worker · NPI 1265632442

MS. Mindy Eglivitch, LCSW is a Clinical Social Worker in Surprise, Arizona. Practices as a sole proprietor. Licensed in Arizona and North Carolina.

Licensed in
AZ, NC
In the registry since
2007
Specialties on file
2
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

16772 W Bell Rd Ste 110-186
Surprise, AZ 85374-9702
Phone: (781) 797-7685
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence LCSW-19673 (AZ)
Clinical Social Worker Taxonomy 1041C0700X · Licence C005727 (NC)

Record details

NPI number1265632442
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedJuly 25, 2007
Last updated in NPPESApril 27, 2026
Certification dateApril 27, 2026

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