Individual provider · Type 1 NPI

Carli Agnes Slade

Clinical Social Worker · American Fork, UT

NPI number 1114515400 Active

Practice location

131 S 700 E Ste 102
American Fork, UT 84003-2485

Call (801) 683-6830 Map

Mailing address

1051 S 750 W
American Fork, UT 84003-4541

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Clinical Social Worker Primary 1041C0700X9809542-3501 (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 1114515400

Carli Agnes Slade's National Provider Identifier is 1114515400, issued on Jan 4, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in American Fork, UT. The record was last updated on Jan 22, 2025.