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INNOVATIVE THERAPEUTIC SERVICES
NPI 1912495839
Social Worker - Clinical in Phoenix, AZ

Active since April 26, 2018
15600 N BLACK CANYON HWY STE C103, PHOENIX, AZ 85053(602) 320-7925(877) 958-9033 Get Directions Write a Review

NPPES record last updated: May 4, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 4, 2022, Apr 26, 2018 (2 updates tracked since 2018).

About Innovative Therapeutic Services NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

INNOVATIVE THERAPEUTIC SERVICES (NPI 1912495839) is a healthcare organization registered as a clinical in Phoenix, Arizona and active in the NPI registry since April 2018. The organization lists Gwynetth Elaine Kelly, Clinical Director, as its authorized official.

NPPES Registry Identity

NPI1912495839
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameINNOVATIVE THERAPEUTIC SERVICES
Location Address15600 N BLACK CANYON HWY STE C103Phoenix, AZ 85053-4055
Mailing Address15600 N Black Canyon Hwy # C103Phoenix, AZ 85053-4055 · (602) 320-7925 · Fax (877) 958-9033
Phone(602) 320-7925
Fax(877) 958-9033
Organization SubpartNo
Authorized OfficialGwynetth Elaine KellyClinical Director · (602) 320-7925
Enumeration DateApril 26, 2018
Last NPPES UpdateMay 4, 20222 updates tracked since enumeration
NPPES CertifiedMay 4, 2022
✔ NPI 1912495839 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
15600 N BLACK CANYON HWY STE C103, Phoenix, AZ 85053
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Innovative Therapeutic Services's NPI number?

The NPI number for Innovative Therapeutic Services is 1912495839. It was assigned to this organization in the NPPES registry on April 26, 2018.

Where is Innovative Therapeutic Services located?

Innovative Therapeutic Services is located at 15600 N Black Canyon Hwy Ste C103, Phoenix, AZ 85053. The listed phone number is (602) 320-7925.

What is Innovative Therapeutic Services's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Innovative Therapeutic Services was last updated on May 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.