Individual provider · Type 1 NPI

Peggy De Azevedo

Clinical Social Worker · Salt Lake City, UT

NPI number 1154401867 Active

Practice location

4885 S 900 E
Salt Lake City, UT 84117-5746

Mailing address

1327 East South Temple, #14
Salt Lake City, UT 84102

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X140103-3501 (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 1154401867

Peggy De Azevedo's National Provider Identifier is 1154401867, issued on Oct 17, 2006. 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 Jul 8, 2007.