Organization · Type 2 NPI

Lakeshore Counseling

Clinical Social Worker · Syracuse, UT

NPI number 1033984901 Active

Practice location

780 S 2000 W Ste A105
Syracuse, UT 84075-9612

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone listed

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 1033984901

Lakeshore Counseling's National Provider Identifier is 1033984901, issued on Nov 20, 2023. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Syracuse, UT. The record was last updated on Feb 4, 2026.