Individual provider · Type 1 NPI

Stacey Davis

Clinical Social Worker · Provo, UT

NPI number 1073809489 Active

Practice location

750 N Freedom Blvd
Provo, UT 84601-1677

Call (801) 373-4760 Map

Mailing address

750 N Freedom Blvd Ste 300
Provo, UT 84601-1690

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X5425606-3502 (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 1073809489

Stacey Davis's National Provider Identifier is 1073809489, issued on Jun 23, 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 Jan 17, 2025.