Individual provider · Type 1 NPI

Ryan Bolander, LCSW

Clinical Social Worker · Salt Lake City, UT

NPI number 1003370768 Active

Practice location

2411 S 1070 W Ste B
Salt Lake City, UT 84119-1570

Mailing address

117 W 400 S
Salt Lake City, UT 84101-1916

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Case Manager/Care Coordinator 171M00000XNone listed
Clinical Social Worker Primary 1041C0700X11048314-3501 (UT)

Clinical Social Worker: 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 interpers…

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About NPI 1003370768

Ryan Bolander, LCSW's National Provider Identifier is 1003370768, issued on Jan 28, 2019. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Salt Lake City, UT. The record was last updated on Jul 22, 2026.