Individual provider · Type 1 NPI

Carolyn Jo Hansen, LCSW

Clinical Social Worker · Salt Lake City, UT

NPI number 1164712733 Active

Practice location

3660 S West Temple
Salt Lake City, UT 84115-4441

Mailing address

8342 El Manicero Way
Sandy, UT 84093-1222

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X327377-3501 (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 1164712733

Carolyn Jo Hansen, LCSW's National Provider Identifier is 1164712733, issued on Apr 15, 2011. 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 Apr 15, 2011.