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

Individual provider Clinical Social Worker · NPI 1508473042

Stephanie Larsen Mickelsen, LCSW is a Clinical Social Worker in Glendale, Arizona. Practices as a sole proprietor. Licensed in Arizona.

Licensed in
AZ
In the registry since
2020
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

17100 N 67th Ave Ste 400
Glendale, AZ 85308-3698
Phone: (480) 485-5919
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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-22407 (AZ)

Record details

NPI number1508473042
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedSeptember 29, 2020
Last updated in NPPESAugust 3, 2024
Certification dateAugust 3, 2024

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