Individual provider · Type 1 NPI

Marie Eleanor Roushar, CSW

Clinical Social Worker · Pleasant Grove, UT

NPI number 1174875488 Active

Practice location

194 S Main St
Pleasant Grove, UT 84062-2631

Call (801) 785-1169 Map

Fax (801) 785-1154

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X8265368-3502 (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 1174875488

Marie Eleanor Roushar, CSW's National Provider Identifier is 1174875488, issued on Oct 10, 2012. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Pleasant Grove, UT. The record was last updated on Oct 10, 2012.