Provider Demographics
NPI:1962281311
Name:STRINGFIELD, KARISSIA MICCAI (LMSW)
Entity type:Individual
Prefix:
First Name:KARISSIA
Middle Name:MICCAI
Last Name:STRINGFIELD
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15815 S LAKEWOOD PKWY W APT 1109
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85048-7290
Mailing Address - Country:US
Mailing Address - Phone:124-887-5822
Mailing Address - Fax:
Practice Address - Street 1:15815 S LAKEWOOD PKWY W APT 1109
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85048-7290
Practice Address - Country:US
Practice Address - Phone:248-875-8225
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-25
Last Update Date:2023-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLMSW21272104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker