Individual provider · Type 1 NPI

William Mack Green, LCSW, LSAC

Clinical Social Worker · Bountiful, UT

NPI number 1013246131 Active

Practice location

107 N Main St
Bountiful, UT 84010-6162

Call (801) 244-5166 Map

Mailing address

590 E Center St
Centerville, UT 84014-2305

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X4932942-6006 (UT)
Clinical Social Worker Primary 1041C0700X4932942-3501 (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 1013246131

William Mack Green, LCSW, LSAC's National Provider Identifier is 1013246131, issued on Dec 19, 2009. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Bountiful, UT. The record was last updated on Dec 19, 2009.