Individual provider · Type 1 NPI

Blaine Keaton Daimaru, LCSW

Clinical Social Worker · Sandy, UT

NPI number 1124751441 Active

Practice location

1218 E 7800 S Ste 210
Sandy, UT 84094-7228

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700XLCSW-23132 (AZ)
Clinical Social Worker Primary 1041C0700X11302959-3501 (UT)
Clinical Social Worker 1041C0700X5471460 (ID)

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 1124751441

Blaine Keaton Daimaru, LCSW's National Provider Identifier is 1124751441, issued on Jul 5, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Sandy, UT. The record was last updated on Feb 9, 2026.