Individual provider · Type 1 NPI

Emmalynn Rose Goddard, SC.61541753

Clinical Social Worker · Provo, UT

NPI number 1104544774 Active

Practice location

750 N Freedom Blvd
Provo, UT 84601-1677

Call (801) 373-4760 Map

Mailing address

1025 S 3rd St
Renton, WA 98057-2765

Other practice locations

  • 1345 22nd St NE, Auburn, WA 98002-3442 · (253) 833-5908

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XNone listed
Clinical Social Worker Primary 1041C0700X61541753 (WA)

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 1104544774

Emmalynn Rose Goddard, SC.61541753's National Provider Identifier is 1104544774, issued on Aug 18, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Provo, UT. The record was last updated on May 28, 2024.