Individual provider · Type 1 NPI

Mark Hamilton Glade, L.C.S.W.

Clinical Social Worker · Sandy, UT

NPI number 1023069358 Active

Practice location

625 E 8400 S
Sandy, UT 84070-0525

Fax (801) 566-3926

Mailing address

2351 Cave Hollow Way
Bountiful, UT 84010-1203

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X312261-3501 (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 1023069358

Mark Hamilton Glade, L.C.S.W.'s National Provider Identifier is 1023069358, issued on May 12, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Sandy, UT. The record was last updated on Jul 13, 2026.