Individual provider · Type 1 NPI

Sue Gail Middleton, PhD, LCSW

Clinical Social Worker · Provo, UT

NPI number 1053695684 Active

Practice location

1355 N University Ave Ste 200
Provo, UT 84604-2721

Fax (801) 221-0291

Specialties and licenses

Taxonomy	Code	License
Clinical Social Worker Primary	1041C0700X	139789-3501 (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 1053695684

Sue Gail Middleton, PhD, LCSW's National Provider Identifier is 1053695684, issued on Sep 30, 2011. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Provo, UT. The record was last updated on Sep 30, 2011.