Organization · Type 2 NPI

Matthew G Larson PC

Clinical Social Worker · Salt Lake City, UT

NPI number 1093984031 Active

Practice location

24 S 600 E Ste 6
Salt Lake City, UT 84102-4201

Fax (801) 521-0688

Mailing address

PO Box 1221
Salt Lake City, UT 84101-4201

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X03609393501 (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 1093984031

Matthew G Larson PC's National Provider Identifier is 1093984031, issued on Feb 25, 2008. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Salt Lake City, UT. The record was last updated on Feb 25, 2008.