Individual provider · Type 1 NPI
Peggy De Azevedo
Clinical Social Worker · Salt Lake City, UT
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
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 140103-3501 (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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- Michael Keith Slade, MSWClinical Social Worker Salt Lake City, UT NPI 1003304148
- Ryan Bolander, LCSWClinical Social Worker Salt Lake City, UT NPI 1003370768
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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.