NPI 1013262963

Richard Michael Bohannan, LCSW

Practitioner Clinical Social Worker Tempe, AZ

Practice location

Address: 2120 S McClintock Dr STE 105, Tempe, AZ 85282-2692
Phone: (480) 804-0326

Registered specialties (2)

Clinical Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence LCSW-15674 (AZ)

Other Social Worker providers in Arizona →

Social Worker

Behavioral Health & Social Service Providers Taxonomy 104100000X Licence LMSW-13380 (AZ)

Registry record

NPI: 1013262963
Entity type: Individual
Sex (as registered): Male
NPI issued: 17 Jul 2012
Record last updated: 16 Jul 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.