Organization · Type 2 NPI
Functionally Integrative Therapy LLC
Clinical Social Worker · Salt Lake City, UT
Practice location
5620 S Waterbury Way
Salt Lake City, UT 84121-1180
Mailing address
PO Box 18182
Kearns, UT 84118-0182
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | None listed |
| Adult Mental Health Clinic/Center | 261QM0850X | None listed |
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 1184503492
Functionally Integrative Therapy LLC's National Provider Identifier is 1184503492, issued on Aug 29, 2025. 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 Aug 29, 2025.