Individual provider · Type 1 NPI
Kerry Wickman, LCSW
Clinical Social Worker · Salt Lake City, UT
Practice location
850 E 300 S Ste 1
Salt Lake City, UT 84102-2301
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 9515461-3501 (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…
2 other providers at this address
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About NPI 1104680156
Kerry Wickman, LCSW's National Provider Identifier is 1104680156, issued on Feb 9, 2024. 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 9, 2024.