Individual provider · Type 1 NPI

Michael D. Jensen, LCSW BCD

Clinical Social Worker · Manti, UT

NPI number 1124230115 Active

Practice location

50 South Main, # 25
Manti, UT 84642

Fax (435) 528-7048

Mailing address

PO Box 936
Gunnison, UT 84634-0936

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X1140763501 (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 1124230115

Michael D. Jensen, LCSW BCD's National Provider Identifier is 1124230115, issued on May 4, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Manti, UT. The record was last updated on Jul 8, 2007.